“Charles Konigsberg has done a great service for American taxpayers--giving all of us a clear, direct and meaningful guide to the $3 trillion of our money that goes to the government to fund programs that shape our daily lives (for better or worse.) For one used to wading through gobbledygook or impenetrable jargon, the plainspoken, straightforward actual English in this book is especially refreshing. Every American concerned about federal taxing and spending--Democrat, Republican or other, budget analyst or average citizen--should have this book.” Norman Ornstein, Resident Scholar, American Enterprise Institute

“This is an extremely useful book--both for those seeking a comprehensible introduction to the complexities of the federal budget and to practitioners needing a quick refresher course.” Alice M. Rivlin, former Director, Office of Management and Budget, and Congressional Budget Office

“Charles Konigsberg, who advised my good friend Pat Moynihan on fiscal policy, explains in clear and concise language why the is on a dangerous fiscal path, with entitlement programs, particularly the health care entitlements, growing at an unsustainable rate due to rapidly rising health care costs.” Bob Kerrey, former Senator from Nebraska and co-chair of the Kerrey-Danforth Bipartisan Commission on Entitlement and Tax Reform

“Anyone needing to know how the U.S. government raises and spends $3 trillion each year, will find the answer in Charles Konigberg's indispensable guide to the budget process and its consequences. America's Priorities is a must-have reference for all concerned citizens.” Matthew Winkler, Editor-in-Chief, Bloomberg News

With two decades of bipartisan experience in the White House and Senate, Charles S. Konigsberg, who now publishes Appropriations.com, Fed.Tax, and GovBudget.com, explains in clear, nonpartisan language how the U.S. government raises and spends $3 trillion per year. The book provides plain English explanations of major Federal spending programs, Federal taxes, the budget process and the swing from deficits in the 1980s to surpluses in the late 1990s and back to rapidly increasing debt.

A broad spectrum of readers will value the book as a vital resource: journalists, political and financial commentators, the government and financial sectors, academia, and voters looking for a nonpartisan explanation of how the President and Congress are prioritizing our public resources.

To order the book visit Amazon.com or call the publisher at 888.280.7715.

Paperback (8.25x11) $19.95 ISBN: 9781434360137 Dust Jacket Hardcover (6x9) - $29.95 ISBN: 9781434360120 00_frontmatter.qxp 11/20/07 10:23 AM Page iii

For my son Eddie and all of his generation who deserve to inherit a strong and prosperous America that remains the democratic ideal for all of humanity 00_frontmatter.qxp 11/20/07 10:23 AM Page v

Summary of Contents

Foreword

Preface

Acknowledgments

I. Introduction: America’s Priorities

II. Unlocking the Mysteries of the Federal Budget Process

III. Spending: How America Spends $3 Trillion Per Year

IV. Revenues: How America Raises $3 Trillion Per Year

V. Tax Expenditures: Spending on the Revenue Side

VI. In the Wink of an Eye: From Deficits to Surpluses and Back to Deficits

VII. Current Fiscal Policy is Unsustainable: Non-Partisan Principles to Secure Our Nation’s Future

Appendices

Index

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Table of Contents

Foreword ix

Preface xi

Acknowledgements xiii

Summary of Contents xv

I. Introduction: America’s Priorities 1

II. Unlocking the Mysteries of the Federal Budget Process 3 2-1. Preparation of the President’s Budget 5 2-2. The Congressional Budget Process 7 2-3. Implementation of Spending Laws 29 2-4. Budget Enforcement 33 2-5. The Government as Banker: Federal Credit Reform 49 2-6. The Federal Unfunded Mandates Reform Act 51 2-7. Performance-Based Budgeting 57 2-8. Budget Process Reform Proposals 63 2-9. Key Budget Concepts 75

III. Spending: How America Spends $3 Trillion Per Year 93 3-1. Defense and Intelligence Spending: From “Peace Dividend” in the 95 1990s to Rapid Growth Since 2000 3-2. Department of Homeland Security 123 3-3. Veterans Benefits 163 3-4. Social Security: Is it Stable or Facing Collapse 169 3-5. Interest Payments—The Fourth-Largest Federal “Program” 181 3-6. Health Care: The Nation’s Greatest Fiscal Challenge 187 Medicare 189 Medicaid 194 Public Support of Teaching Hospitals 201

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viii CONTENTS

State Children’s Health Insurance Program (SCHIP) 203 U.S. Public Health Service Agencies: Surgeon General and the Commissioned Corps 205 Agency for Healthcare Research and Quality 207 Centers for Disease Control and Prevention 208 Food and Drug Administration 209 HRSA: Community Health, HIV/AIDS, MCH, NHSC 212 Indian Health Service 217 National Institutes of Health 219 Substance Abuse and Mental Health Services Admin. 222 Biomedical Advanced Research and Development Authority 224 3-7. Education and Children’s Programs 233 Head Start 233 Child Care 235 Child Nutrition and Women, Infants, and Children (WIC) 237 Child Welfare 239 Elementary and Secondary Education 240 No Child Left Behind 241 Special Education and Individuals with Disabilities Education Act 243 Higher Education 244 3-8. Helping People in Need Earned Income Tax Credit 253 Supplemental Security Income for the Aged, Blind and Disabled 255 The Food Stamp Program 257 “Welfare”—Temporary Assistance for Needy Families (TANF) 258 Housing Assistance 259 Low-Income Home Energy Assistance (LIHEAP) 263 Unemployment Compensation 264 3-9. Transportation Programs 271 Federal-aid Highway Program (Highways and Bridges) 272 Public Transportation 276 Financing Air Traffic Control and Airport Improvements 277 Amtrak 279 Transportation Safety 280 3-10. Law Enforcement and Administration of Justice 283 FBI 284 DEA, ATF, and U.S. Marshals Service 285 Federal Prison System 287 U.S. Attorneys and DOJ Legal Activities 289 Justice Programs: Grants for State and Local Law Enforcement 289 3-11. Environment, Energy, and Natural Resources 293 Environmental Protection Agency 294 Energy Programs 296 Expenditures on Basic Science, Research and Development 298 Natural Resources: Stewardship of Public Lands, Waterways, 299 and Wildlife 00_frontmatter.qxp 11/20/07 10:23 AM Page ix

CONTENTS ix

3-12. Farm Programs 303 Commodity Programs 303 Conservation Programs 306 Crop Insurance and Emergency Assistance 306 Agricultural Research and Education 307 Marketing and Regulatory Programs 308 Farm Credit 309 3-13. International Affairs 313 Economic Development Aid 314 Humanitarian Aid 317 Military Aid and Security Assistance 319 Counter-Narcotics and Law Enforcement 320 State Department and Conduct of Foreign Affairs 321 Contributions to the United Nations and other International Orgs 322

IV. Revenues: How America Raises $3 Trillion Per Year 327 Overview of U.S. Taxes 327 Individual Income Taxes 327 Payroll Taxes: Social Security and Medicare Hospital Insurance 331 Corporate Income Taxes 332 Estate and Gift Taxes 333 Excise Taxes, Duties, and Misc. Receipts 336 The “Tax Gap” 337 How Do U.S. Taxes Compare to Other Countries? 340 Tax Fairness, Reform, and Distribution of the Tax Burden 340

V. Tax Expenditures: Spending on the Revenue Side 349 Significant Tax Expenditures 356

VI. In the Wink of an Eye: From Deficits to Surpluses and Back to Deficits 363 A Brief History of Deficits and Surpluses 363 The Triple-Digit Deficits of the 1980s 364 The Budget Agreements of the 1990s Lead to Surpluses 364 Current Decade: Exploding Deficits Lead to Massive Debt 366 Causes of the Deficit/Debt Explosion 367 Top Officials Agree U.S. is on a Dangerous Fiscal Path 371 Do Deficits Matter? 373

VII. Non-Partisan Principles to Secure Our Nation’s Future 379

APPENDICES A. Budget Process Timetable 383 B. Budget Points of Order in the Senate and House 386 C. Major Laws Governing the Federal Budget Process 395 D. Statutory Deficit of “Entitlement” 398 E. Revenue Bills and the Origination Clause 400 00_frontmatter.qxp 11/20/07 7:16 PM Page x

x CONTENTS

F. Historical Table – Budget Resolutions 401 G. Example of Budget Resolution Totals 404 H. Example of Budget Reconciliation Instructions 406 I. Example of Budget Resolution Reserve Funds 408 J. Example of Budget Resolution 302(a) Committee Allocations 410 K. Example of Appropriations 302(b) Sub-Allocations 412 L. Explanation of the Senate’s Byrd Rule 413 M. Historical Table – Reconciliation Bills 415 N. Historical Table – Completion of Appropriations Bills 418 O. Appropriations – Rules Governing Floor Consideration and Conference 419 P. 2004 PART Questionnaire 424 Q. 2007 Federal Poverty Level 426

Index 427 00_frontmatter.qxp 11/20/07 10:23 AM Page xi

PREFACE

merica’s Priorities explains in clear, concise, and nonpartisan language how the U.S. gov- A ernment raises and spends $3 trillion per year. It provides plain English explanations of Federal spending programs, Federal taxes, recent budget history, the looming budget crisis, and how the complex budget process operates. Journalists and political commentators will find the book a useful reference source and consistently nonpartisan in its presentation. Recalling my experience as a new Senate staff member, I have included in America’s Pri- orities a comprehensive, nonpartisan overview of the congressional budget process and Fed- eral Budget, aiming to provide a reliable introduction for congressional staff and new Members of Congress. Finance professionals will find this book useful in navigating the daily barrage of con- flicting numbers and political rhetoric as they attempt to distinguish fact from opinion, and discern where fiscal policy is really heading. I’ve taken my cue from my former boss, the late Senator Daniel Patrick Moynihan, who famously said, “Everyone is entitled to his own opin- ion, but not his own facts.” College and university professors will find the subject matter relevant and thought-pro- voking for several disciplines—political science, economics, a broad spectrum of public pol- icy areas, and public administration. Most importantly, for the broader public, America’s Priorities is intended to be a current, common sense explanation of how our government is raising and spending $3 trillion per year—so that all of us, collectively, will hold successive Congresses and Administrations accountable for the immensely important decisions made on our behalf.

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ACKNOWLEDGMENTS

have been privileged to serve on three Senate Committee staffs—Finance, Budget, and I Rules and Administration. At the Senate Finance Committee, I had the rare opportunity of twice working for the committee’s chairman and ranking member, the late Senator Daniel Patrick Moynihan, who taught that true public service is always saying what you believe, no matter how much it might shake up the conventional wisdom—and that you better have the facts to back up your opinion. Senator Moynihan did this throughout his remarkable bipar- tisan career in four Administrations and the U.S. Senate and earned national respect, across the political spectrum, for his candor and insightful thinking. On the Budget Committee staff, I had the rare good fortune to find a mentor and long- time friend, the late Sid Brown, the committee’s Chief of Budget Review. I was fresh out of law school, and Sid generously and always with good humor and infinite patience taught me more about the Federal Government, Congress, and the budget process than anyone else I have known. Sid was a man of great intelligence, wit, and humanity who is deeply missed by all of his many friends and colleagues on the Hill and at National Public Radio, where he spent his later years. I also wish to thank , Frank Raines, and , who I had the great privi- lege to work for and learn from during their respective tenures as Director of the Office of Management and Budget; Senator Ted Stevens, for the opportunity to serve on the staff of the Senate Rules Committee; Chuck Kieffer, who, as a senior staff member at OMB and now the Senate Appropriations Committee, is a public servant of exceptional integrity and compe- tence; Senator Pete Domenici, Steve Bell, and Gail Millar for the opportunity to work on the staff of the Senate Budget Committee; Professor Harry Clor, at Kenyon College, whose uncom- mon wisdom and ability to look beyond conventional political doctrine have inspired my work; Laura Larson, my copy editor, Andrea Reider my typesetter, and Chris Anzalone at Row- man & Littlefield, for their infinite patience; Trevor Johnston for his skillful proofreading and insights; Michael Crowley, Laura de la Torre, Lorraine Evans, John Laird, and Eric Warren for research assistance; and, most especially, all my family and friends who have provided sup- port and encouragement during this enormous project.

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FREQUENTLY USED ABREVIATIONS AND TERMS

CBO The Congressional Budget Office supports the congressional budget process by providing Congress with nonpartisan economic and program analyses and cost information on existing and proposed Federal programs. The Budget and Appropriations Committees of the House and Senate are the major users of CBO reports.

CRS The Congressional Research Service is the public policy research arm of the , producing reports on a broad range of Federal pro- grams and issues of national interest. As a legislative branch agency within the Library of Congress, CRS works exclusively and directly for Members of Con- gress, their Committees, and staff on a confidential, nonpartisan basis. While CRS reports are not made directly available to the public, many can be found on a variety of websites by searching “CRS” and “key words.” In addition, any CRS report cited in this book can be purchased from www.pennyhill.com.

GAO The Government Accountability Office (until recently the General Accounting Office) is a legislative branch agency established to report to Congress on the effectiveness of programs and expenditures of the Federal government. GAO, commonly called the investigative arm of Congress or the “congressional watch- dog,” is independent and nonpartisan. GAO also frequently advises Congress and the heads of executive agencies about ways to make government more effective and responsive.

IRS Internal Revenue Service, Department of the Treasury

JCT The Joint Committee on Taxation is a joint House-Senate Committee of the Congress. Unlike other committees of the Congress that develop legislation for congressional consideration, the JCT exists solely to employ a nonpartisan staff of tax professionals and economists to provide the House Ways and Means

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xvi FREQUENTLY USED ABREVIATIONS AND TERMS

Committee and the Senate Finance Committee with nonpartisan revenue esti- mates and analyses of tax proposals. The CBO uses JCT’s revenue estimates in CBO budget documents.

OMB The Office of Management and Budget is an agency within the Executive Office of the President that formulates the President’s Budget requests for transmit- tal to Congress, manages the “apportionment” (i.e., availability) of appropri- ated funds, and is the President’s instrument for managing the overall operations of the Federal Government.

SUPER- A vote of the House of Representatives or Senate requiring more than 50%- MAJORITY plus-one for passage—typically setting the threshold for passage at three-fifths or two-thirds.

TAX CODE Refers to the Internal Revenue Code of 1986, the most recent comprehensive rewrite of the tax laws.

TRILLION A “trillion dollars” is such an enormous amount of money, even Merriam- DOLLARS Webster’s Collegiate Dictionary can’t seem to comprehend how large it really is. It defines a trillion as “a very large number.”Consider looking at it this way: if you think about a million dollars, a “trillion dollars” is a million millions. Or if you prefer to think in billions, a “trillion dollars” is a thousand billions. 01part.qxp 11/19/07 7:34 PM Page 1

PART I

INTRODUCTION: AMERICA’S PRIORITIES

he Budget of the United States—now approaching $3 trillion—is about people and pri- Torities. The allocation of our public resources in each year’s budget process is a singular reflection of how we view our nation, our people, our collective future, and our place in the world. Yet, the critical issues of our day are increasingly lost in a morass of growing partisanship and ideology. It is essential that we move beyond the “red” and “blue” labels and focus prag- matically on the vital national issues that profoundly impact all of us. The Federal Budget touches all of us in many ways—some apparent, others less so. Consider, for a moment, a “snapshot” of the Federal Budget:

• Our nation’s security is defended by 1.4 million Americans in uniform at bases through- out the world. • 34 million seniors collect monthly Social Security checks—for many of them, the largest share of their monthly income—making the difference between living with dignity and living in poverty. • Hundreds of thousands of our nation’s veterans who fought in World War II, Korea, Vietnam, the Gulf War, Afghanistan, and Iraq receive medical care at veterans hospitals for injuries suffered during military service, and millions more receive compensation pay- ments for combat-related injuries that impair their ability to work. • Tens of millions of Americans live in their own homes due to the deductibility of monthly mortgage interest from taxable income (a priority on the “tax side” of the budget). • More than 5 million college students receive Pell Grants to help pay for higher education. • Every American enjoys the use of 160,000 miles of national highways, vital to the nation’s economy, defense, and mobility. • 34 million seniors visit doctors of their choice, or have in-patient medical procedures, paid for by Medicare. • Millions of disabled Americans—of all ages—receive Social Security disability insurance payments, or Supplemental Security Income, and receive medical coverage through Medicare or Medicaid.

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2 AMERICA’S PRIORITIES

• Millions of Americans take prescription drugs with confidence, knowing that their med- ications have undergone rigorous scrutiny by the Food and Drug Administration. • Half of all long-term care in our nation is paid for by Medicaid—providing vital nurs- ing home and other services to low-income seniors and disabled children in need of care. • Medical researchers and scientists across the nation, and around the world, conduct groundbreaking scientific and medical research funded by the National Institutes of Health. • Millions of low-income working families are assisted in climbing out of poverty through the Earned Income Tax Credit and Temporary Assistance for Needy Families. • Fifteen thousand air traffic controllers enable millions of air travelers to visit family or conduct business throughout the country and across the globe. •The Centers for Disease Control and Prevention protects the public health by moni- toring disease outbreaks across the nation, and around the world, to prevent catastrophic pandemics. • Thousands of inspectors from the Agriculture Department spot-check meat and poultry facilities to protect America’s food supply. • Millions of poor children receive vital preschool services, school breakfasts, and school lunches to give them a fair chance and an equal opportunity at a decent life.

The process of how we prioritize $3 trillion of national resources among these and other Federal programs, and how we raise the revenues to pay for them, is the subject of this book.

Author’s Note

This book is designed so that you can begin reading at various points in the book, depending on which areas are of greatest interest to you.

• If you want to begin with a plain English overview of the budget process—how the President and Congress construct the massive Federal budget—turn the page and continue reading, with Part II. • Or, if you are interested in how the Federal government went from deficits in the 1980s, to surpluses in the 1990s, and back to rapidly rising debt in the 2000s, begin with Part VI. • Finally, if you are interested in an overview of America’s priorities, or how a par- ticular program operates, skip ahead to Parts III, IV, and V. 02_0intro.qxp 11/19/07 7:32 PM Page 3

PART II

THE BUDGET PROCESS

low-resolution

President George W. Bush delivers 2007 State of the Union Address

e’re all familiar with the photograph above—the President delivering the State of the WUnion address.1 What most people don’t realize is the close linkage between the State of the Union and the President’s Budget. The State of the Union fulfills the President’s constitutional obligation to “from time to time give to the Congress information of the State of the Union.”2 As a practical matter, it also serves as the President’s platform to launch his policy proposals for the upcoming year—the details of which are set forth in the President’s formal Budget document. By law, the Presi-

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4 AMERICA’S PRIORITIES

dent submits his Budget to the Congress by the first Monday in February, typically the week following the State of the Union. The President’s Budget is actually a request—albeit a very long (and heavy) request (10 pounds, 4 volumes, 2,000+ pages). In these enormous documents, the President lays out for Congress (1) the programs he believes should be funded, (2) at what levels, and (3) how he proposes to raise (or borrow) the funds to pay for those programs. However, on matters relating to the Federal Budget, the real power is at the other end of Pennsylvania Avenue—on Capitol Hill. The Constitution gives to Congress the exclusive power to appropriate funds, to collect taxes, and to borrow money.3 Sometimes Congress accepts the President’s proposals; often Congress modifies the proposals; and sometimes Congress rejects the proposals outright. 02_1part.qxp 11/19/07 7:27 PM Page 5

CHAPTER 2-1

Preparation of the President’s Budget

A nation’s budget is full of moral implications: it tells what a society cares about and what it does not care about; it tells what its values are.—Senator J. William Fulbright, 1988 1

reparation of the President’s Budget begins about nine months prior to transmittal of the PPresident’s Budget to Congress. For example, formulation of the President’s FY 2009 Bud- get began in the spring of 2007, culminating in transmittal of the Budget to Congress on Feb- ruary 4, 2008. The first step in budget preparation is the President’s White House Office of Management and Budget (OMB) issuing “planning guidance” to the various departments and agencies of government to develop budget proposals for FY 2009 based on the President’s priorities and policy objectives. For example, the guidance might ask each agency to submit a budget proposal that con- tinues spending at current levels, or cuts spending by 5 percent, or allows spending for cur- rent programs and government services to grow with inflation. Such guidance might apply consistently across all government departments and agencies, or the White House might per- mit some agencies to increase spending to accommodate new initiatives, while instructing other agencies to cut spending by a specific percentage. This first decision point in formula- tion of the President’s Budget is for all practical purposes invisible to the public. But it is a critical decision point where the President and his Administration decide the general outlines and priorities of the forthcoming Budget transmittal to Congress. Following OMB’s planning guidance, each department and agency spends several months preparing detailed budgets for their programs. This budget preparation work is meticulously guided by a two-inch-thick set of instructions issued annually by OMB called “Circular A-11.” 2 After several months of examining budget needs and priorities within the parameters of the spring planning guidance, each department and agency in early fall submits to OMB its initial budget request. OMB then conducts its “Fall Review,”analyzing agency budget requests in light of the planning guidance, program performance, and overall budget objectives and constraints. During the Fall Review, OMB career program analysts raise issues and present

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6 AMERICA’S PRIORITIES

options to the OMB Director and senior political staff for their policy decisions. These pol- icy decisions are incorporated into a complete set of budget proposals. In late November, the OMB Director briefs the President and senior advisors on the draft budget and receives the President’s guidance on key policy issues. After incorporating any changes that emerge from the OMB Director’s meeting with the President, OMB informs departments and agencies about the decisions on their budget requests in what is commonly called the “OMB passback.” Based on the OMB passback, departments and agencies then submit all computer data and related materials to OMB for preparation of the budget documents. Simultaneously, in December, department and agency heads may appeal to the OMB Director, and ultimately the President, to reverse or modify certain decisions in the agency’s passback. (The degree of presidential involvement depends, of course, on the nature of the issues being “appealed” as well as the management style of the President.) With final decisions in hand, OMB then makes final adjustments to the budget and “locks down” the numbers around mid-January, in time to print and deliver the massive documents to Congress on the first Monday of February, as required by law.3 At the same time, depart- ments and agencies prepare “budget justification” materials which are released immediately after the President’s Budget and provide greater detail on each of their respective budgets. In January we often see the Washington ritual of “planned leaks.”Administrations pass to reporters details of new initiatives in the President’s Budget in order to build up anticipa- tion of the President’s State of the Union address—where the outlines of key proposals are typically unveiled.

Recommended Sources for More Information on Preparation of the President’s Budget

• OMB Circular A-11: www.whitehouse.gov/omb/circulars/a11/current_year/a11_toc.html • GAO: “Principles of Federal Appropriations Law,”3rd ed., vol. 1: 1-14–1-16.

Notes

1. Lewis D. Eigen and Jonathan P. Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 25. 2. Circular A-11 is available at www.whitehouse.gov/omb/circulars/a11/current_year/a11_toc.html. 3. The President’s Budget is required by law to be submitted by the first Monday in February for the fiscal year beginning October 1 (31 U.S.C. 1105(a)). The timing of the President’s Budget trans- mittal changes in a year with a transition between outgoing and incoming Administrations. For exam- ple, President George W. Bush transmitted his first budget, the FY 2002 Budget, in April 2001. OMB Circular No. A-11 (2005), p. 3 of section 10. 02_2part.qxp 11/20/07 10:28 AM Page 7

CHAPTER 2-2

The Congressional Budget Process

The House of Representatives cannot only refuse, but they alone can propose the supplies req- uisite for the support of the government. They, in a word, hold the purse: that powerful instru- ment by which we behold in the history of the British constitution an infant and humble representation of the people, gradually enlarging the sphere of its activity and importance, and finally reducing ...all the overgrown prerogatives of the other branches of the govern- ment. —James Madison, Federalist No. 581

lthough Congress has held the “power of the purse” since ratification of the Constitu- A tion in 1789,2 prior to 1974 Congress generally deferred to the President on overall bud- get policies and priorities. The Congress had no process of its own for formulating an overall fiscal policy. It generally acted on, and made changes to, the specific spending and tax pro- posals submitted by the President. It was primarily the President, and officials and staff at the Office of Management and Budget, who focused on the larger picture of total spending, total revenues, and public debt.3 Then came the Nixon “impoundment” controversy. In the early 1970s President Nixon attempted to “impound”—that is, he refused to spend—funds Congress had appropriated for specific purposes. Nixon’s assertion of presidential impoundment authority, as well as Congress’ long-standing dependence on the Administration’s Office of Management and Budget, led Congress to enact the landmark Congressional Budget and Impoundment Con- trol Act of 1974 (“Budget Act”). The Budget Act—although amended in substantial ways since 1974—continues to govern the process by which Congress assembles the $3 trillion Federal Budget.

The Three-Tier Legislative Process Before we walk through the budget process timetable, it is worth a short detour to place the congressional budget process in context, that is, how it fits generally into Congress’ multilay- ered legislative process. The congressional budget process is part of a three-tier legislative process: (1) authoriza- tions, (2) appropriations and revenue raising, and (3) the congressional budget process.

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8 AMERICA’S PRIORITIES

IN A NUTSHELL In General:

Authorizing Committees (17 in each chamber) establish Federal programs and deter- mine how they will operate.

The House and Senate Appropriations Committees each year allocate available funds to authorized programs.

The Congressional Budget Resolution determines how much total funding is avail- able for appropriation in a particular year.

Example: The Homeland Security authorizing committees in the House and Senate write legislation authorizing a State homeland security grants program. However, the State grants program will not operate unless the House and Senate Appropriations Committees act on legislation that appropriates funding for the grants program. The Appropriations Com- mittees cannot allocate funding for the program until Congress adopts a Budget Resolu- tion that determines how much total funding is available for the upcoming fiscal year.

Entitlement programs are the big exception to this process; authorizing committees circumvent the annual appropriations process when they establish legal entitlements to specified benefits.

Authorizations Process. First, Congress has an authorizations process that creates Federal programs in response to national needs. The Senate and House each have seventeen authoriz- ing committees, although the number of committees has varied over the years. Generally, most of the congressional hearings that you see reported in the media involve fact finding on the wide range of issues facing the nation. The task of the authorizing committees is to determine if a Federal response is needed—in the form of creating or reconfiguring Federal programs, pro- viding assistance to state and local governments, or providing incentives to—or regulating— the private sector. Appropriations and Revenue Raising. The second tier of the legislative process is appro- priations and revenue raising. The Senate Finance and House Ways and Means committees raise revenues (through taxes, customs duties, fees, and borrowing) to finance authorized pro- grams. The two Appropriations Committees—one in the Senate and one in the House—allo- cate available funds among the authorized programs. Congressional Budget Process. The congressional budget process is the third, and newest, tier of the legislative process. Under the congressional budget process, the Congress annually establishes overall fiscal policy on how much total spending and revenues will be for the entire government, how much discretionary funding will be available to the Appropriations Com- mittees, and whether the tax or authorizing committees of Congress will be directed to make budgetary changes to spending or revenue programs under their jurisdiction. However, nothing in Congress is simple, and the three-tier process is often misunder- stood. A frequent misconception is that the Budget Resolution contains program-by-program 02_2part.qxp 11/20/07 10:28 AM Page 9

THE CONGRESSIONAL BUDGET PROCESS 9

THE BLURRING OF AUTHORIZATIONS AND APPROPRIATIONS The distinction between Congress’ authorizing and appropriations committees has been significantly blurred in recent decades. While the appropriators traditionally made all of the funding decisions, authorizing committees in recent decades have been spend- ing money directly (hence the term direct spending), in effect bypassing the appropria- tors and enacting into law programs that legally entitle particular categories of individuals to receive specified benefits. These are the so-called entitlement programs (also called mandatory spending programs because the government is legally required to pay specified benefits to eligible individuals). These spending programs are effec- tively on auto-pilot. Because of a few large mandatory spending programs (Social Secu- rity, Medicare, and Medicaid), as well as interest on the debt, more total spending now results each year from entitlements under the jurisdiction of authorizing committees than from the annual discretionary decisions of the Appropriations Committees. For additional background, see Appendix D.

detail. It does not. As explained below, the Budget Resolution establishes a general framework of budgetary totals, committee allocations and enforcement mechanisms, but does not set funding levels for individual programs. A second misconception is that the Budget Resolution is the product of negotiations with the President. The Budget Resolution is actually a “concurrent resolution” that Congress uses as an internal mechanism to guide subsequent action on spending and revenue bills. It is not a law and is not presented to the President for signature. A third misconception is that legislation “authorizing appropriations” for a project provides funding. Authorizing bills quite often include dollar amounts. For example, an authorizing bill might establish a program and include language stating: “There are authorized to be appro- priated $100 million to carry out this Act in fiscal year 2008.”Even if that language is eventually passed by Congress and signed into law by the President, no money has actually been appro- priated. The “authorization” of $100 million is, in effect, simply a recommendation by the autho- rizing committees, to the Appropriations Committees, that funds in that amount ought to be appropriated in order for the program to fulfill its intended purposes. Unfortunately, this ambiguity is sometimes used to create the perception that funds have actually been provided to address a vital need, when the truth is that only an authorization has been enacted. New Institutions Created in 1974 To implement the new congressional budget process created in 1974, the Budget Act created the House Budget Committee, the Senate Budget Committee, and the Congressional Budget Office (CBO). The Budget Committees of the House and Senate are responsible for drafting Congress’ annual budget plan for the Federal government for consideration by the full House and Senate. Unlike the authorizing and Appropriations committees described earlier, the Budget Commit- tees focus on the Federal Budget as a whole and how it affects the national economy. In this way, the Budget Act created congressional institutions whose unique concern is Federal fiscal policy. 02_2part.qxp 11/20/07 10:28 AM Page 10

10 AMERICA’S PRIORITIES

FIGURE 2-2.1. The Three-Tier Legislative Process

Congressional Budget Process: Setting Overall Fiscal Policy Total Spending, Total Revenues, and Broad Priorities

Senate Budget Committee House Budget Committee

Appropriations and Revenue Raising

Senate Appropriations Committee House Appropriations Committee Senate Finance Committee* House Ways and Means Committee*

Authorizing Committees: Addressing National Needs

Senate Authorizing Committees: House Authorizing Committees: Agriculture, Nutrition and Forestry Agriculture Armed Services Armed Services Banking, Housing and Urban Affairs Education and Labor Commerce, Science and Transportation Energy and Commerce Energy and Natural Resources Financial Services Environment and Public Works Foreign Affairs Finance* Homeland Security Foreign Relations House Administration Health, Education, Labor and Pensions Judiciary Homeland Security and Governmental Affairs Natural Resources Judiciary Oversight and Government Reform Rules and Administration Science and Technology Small Business and Entrepreneurship Small Business Veterans’ Affairs Transportation and Infrastructure Select Committee on Indian Affairs Veterans’ Affairs Select Committee on Intelligence Ways and Means* Special Committee on Aging Permanent Select Committee on Intelligence *The Senate Finance and House Ways and Means Committees have responsibility for raising revenues and authorizing health and social services entitlement programs.

CBO supports the congressional budget process by providing cost projections on exist- ing and proposed Federal programs, as well as fiscal and economic projections. The framers of the Budget Act saw a need to provide Congress with its own independent, nonpartisan bud- get professionals so that Congress would no longer have to rely on the President’s Office of Management and Budget. The creation of CBO placed the Congress on an equal footing with the President in terms of capacity to develop a comprehensive fiscal policy.

The Congressional Budget Process: A Step-by-Step Explanation Prior to 1974, the Federal government’s fiscal year had been July 1 through June 30. However, in 1974 the Budget Act shifted the fiscal year forward to October 1 through September 30 in order to allow sufficient time for the new congressional budget process. As we walk through 02_2part.qxp 11/20/07 10:28 AM Page 11

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the various steps of the congressional budget process, keep October 1 in mind as the target date for completion of each year’s budget process.

January–February: CBO Report, Hearings on the President’s Budget, Committee Views The congressional budget process begins in late January when CBO publishes its annual Bud- get and Economic Outlook. CBO’s annual report lays out for Congress a budget baseline, or starting point, which projects Federal spending and revenues for each of the next ten years if current Federal programs and services remain in place. The baseline is constructed accord- ing to specific rules that generally adjust discretionary programs for inflation; assume the con- tinuation of most entitlement programs; and assume that tax laws expire as scheduled in current law. (For more background on budget baselines, see chapter 2-9.) Shortly thereafter, the President transmits his 2,000-plus page Budget to Congress on the first Monday of February. As explained in chapter 2-1, the President’s Budget is the culmina- tion of nine months of work by the departments, agencies, and OMB, and it shows in sub- stantial detail the President’s spending and tax proposals for the upcoming fiscal year. After transmittal of the President’s Budget, the Senate and House Budget Committees hold public hearings in February at which they receive testimony on the President’s Budget proposals from Administration officials, experts from various disciplines, representatives from national trade associations and organizations, Members of Congress, and the general public. At the same time, the other committees of Congress carefully review the President’s Bud- get and transmit to the Budget Committees their own “views and estimates” on appropriate spending or revenue levels for programs within their jurisdictions. Since budget and tax pri- orities are among the most contentious and partisan issues on Capitol Hill, it is not uncom- mon for a particular committee’s views and estimates to include both the views of the majority party and separate minority party views. Toward the end of February or early March, CBO produces its own nonpartisan review of the President’s Budget and reestimates the President’s proposed policies using the CBO’s own economic projections. The objective of this “reestimate” is to “take the politics out of the President’s Budget” since Members of Congress often argue that the President’s Budget uses overly optimistic economic projections in order to paint a more favorable picture of the nation’s fiscal situation.

March–April: Budget Resolution In March, the Senate and House Budget Committees—using the President’s Budget request, information from their own hearings, views and estimates from other committees of Con- gress, and CBO’s reports—each draft a congressional budget plan in meetings known as com- mittee “mark-ups.” The draft House and Senate budget plans are known as the Concurrent Resolution on the Budget, or “Budget Resolution” for short. Budget Resolutions are required by current law to cover the upcoming budget year plus the following four fiscal years—although this requirement has varied over the years, some- times covering as many as ten years or as few as one year. A Budget Resolution includes four 02_2part.qxp 11/20/07 10:28 AM Page 12

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standard components and two optional components. Standard in all budget resolutions are the following:

1. Budget totals (spending, revenues, deficit or surplus, debt); 2. Total spending allocated among budget functions; 3. Allocation of spending among the congressional committees (by jurisdiction); and 4. Budget enforcement provisions.

Optional Budget Resolution components are:

5. Reserve Funds; and 6. Budget Reconciliation instructions (a key procedure when invoked).

Budget totals, examples of which are shown in appendix G, set forth what the Congress considers to be the appropriate amounts for total spending, total revenues, and the resulting deficit or surplus, and Federal debt. In setting these budget totals, the Congress considers the impact of the Federal Budget on the national economy and establishes Federal fiscal policy for the coming year. (See Part VI, “Do Deficits Matter?”)

Federal spending broken down by function gives Congress a way to consider broad Fed- eral spending priorities. The Budget Resolution accomplishes this by dividing up Federal spending among twenty-one “budget functions,” such as national defense, agriculture, and health. (See chapter 2-9 for a list of budget functions.) The allocation among budget func- tions, however, does not control how money is actually appropriated.4 That responsibility belongs to the Appropriations Committees, as explained later.

Committee allocations. The House-Senate Conference Report on the Budget Resolution is accompanied by a document called the “Joint Explanatory Statement of the Committee of Conference.” This Joint Statement—in addition to explaining how the Senate and House arrived at their final compromise on each provision—contains spending allocations to the var- ious committees of Congress. These allocations—called “302(a) allocations” in budget- speak—divide total Federal spending among the Appropriations Committees and the authorizing committees of each House, based on jurisdiction. The Senate and House Appropriations Committees—with jurisdiction over all discretionary (i.e., nonentitlement) spending— receive large lump sum 302(a) allocations. For example, the FY 2008 Budget Resolution allocated $953 billion to the House Appro- priations Committee and the Senate Appropriations Committee.5 The amount of the 302(a) allocations to the Appropriations Committee is one of the key decision points in each year’s budget process, because they determine the size of the total pot of discretionary funds the House and Senate Appropriations Committees will divide among their respective subcom- mittees. (See appendix J for an example of 302(a) allocations.) The authorizing committees likewise receive spending allocations for the upcoming bud- get year, as well as for the five-year period covered by the Budget Resolution. These alloca- tions determine how much new direct spending a committee is permitted to bring to the Senate or House Floor, respectively. For example, if an authorizing committee’s spending allo- 02_2part.qxp 11/20/07 10:28 AM Page 13

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cation is set at “baseline” levels (i.e., levels that reflect current law), any net new spending reported by the committee would be subject to a procedural objection for violating the com- mittee’s allocation. Alternatively, if the Budget Resolution contemplates a new direct spend- ing program within an authorizing committee’s jurisdiction, the additional spending authority would be reflected in the Budget Resolution totals, the appropriate budget function, and in the committee’s 302(a) allocation.

Budget Enforcement Provisions. The Budget Resolution also typically includes various budget enforcement provisions, intended to add teeth to the spending and revenue totals and committee allocations set forth by the Budget Resolution. Over the years, these enforcement provisions have included new parliamentary points of order, specific caps on overall discre- tionary spending, pay-as-you-go requirements for new entitlement spending or tax cuts, lim- itations on advance appropriations, and limitations on the use of emergency designations.

Reserve Funds. An optional component of a Budget Resolution, which was used heavily in the Fiscal Year 2008 Budget Resolution, is called a “reserve fund.”These are provisions that allow total spending and committee allocations to be adjusted upward to accommodate addi- tional spending for a specifically defined purpose. The adjustment of spending levels is depen- dent on one or more contingencies, typically that (1) the additional spending will be “deficit neutral” and (2) that the covered legislation is dedicated to specific objectives. Because most reserve funds require that the new legislation be “deficit neutral” (paid for by new spending cuts or tax increases), the use of the term reserve fund is actually a misnomer, since a Budget Resolution “reserve fund” does not provide any funds. In fact, the only scenarios in which a “reserve fund” has any purpose at all (other than to make a political statement) is where a mechanism is needed to allow the Budget Committees to adjust spending totals and/or committee allocations to accommodate a new program that is to be paid for by tax increases, or by spending cuts in another committee’s jurisdiction.Ifa new program is paid for by spending cuts within a committee’s own jurisdiction, there is no net increase in the committee’s spending or in total Federal spending, so no adjustments to the Budget Resolution are required and “reserve fund” authority is unnecessary. (See Appendix I for more background on reserve funds.)

Reconciliation Instructions. The Budget Resolution may also initiate an optional—and powerful—procedure known as Budget Reconciliation. This procedure is used when the Con- gress wants to make substantial changes in tax laws or entitlement programs. Under the Rec- onciliation process, the Congress inserts “Reconciliation Instructions” in the Budget Resolution that direct specific authorizing committees to report legislation changing entitle- ment programs or tax laws within their jurisdiction by a specified amount. As displayed in appendix H, Reconciliation Instructions in the Budget Resolution include only dollar amounts to be achieved. The authorizing committees have complete discretion to fulfill the instructions as they see fit, though the Budget Committees normally have specific, nonbinding policy assumptions in mind when drafting the instructions. What makes Recon- ciliation Instructions extraordinarily significant is that legislation produced under these instructions are completely protected from Senate filibuster and largely protected from Floor amendments—something discussed below in greater detail. 02_2part.qxp 11/20/07 10:28 AM Page 14

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Completing Work on the Budget Resolution. When the House and Senate Budget Commit- tees finish drafting a Budget Resolution, they report their respective resolutions to the full House and Senate. Members of the House and Senate then have an opportunity to alter the work of their respective Budget Committees by offering amendments to the Budget Resolutions. When the Senate and House have both passed their respective versions of the Budget Res- olution, they appoint several of their Members to a Senate-House conference committee to resolve the differences between the Senate- and House-passed resolutions. When differences have been resolved in conference, each chamber must then vote on the compromise version of the Budget Resolution called a “Conference Report.” The Budget Act sets April 15 as the date for completion of this work, although this deadline is seldom met. (See appendix F for a historical table on Budget Resolutions.)

THE INFAMOUS BUDGET RESOLUTION “VOTE-A-RAMA” The Senate has been called the world’s greatest deliberative body. There are many exam- ples throughout U.S. history where the Senate has lived up to this accolade. The Bud- get Resolution “vote-a-rama” is not one of them. During the 1980s, Senators began offering scores of Floor amendments to the Budget Resolution to ostensibly increase discretionary spending for particular programs. However, as explained earlier, the Budget Resolution does not include program detail. (That respon- sibility belongs to the Appropriations Committee.) For example, if a Senator offers an amendment intended to move money from a natural resources program into a discretionary health program, the amendment itself would simply reduce the function 300 (natural resources) spending levels and increase the function 550 (health) spending levels. But there would be no practical impact because total spending levels would not change and the lump- sum 302(a) committee allocation to the Appropriations Committee would not change. The Senate Budget Committee also permits Senators to offer amendments that increase spending in one area and “offset” the cost with a negative number in an artifi- cial “Budget Function 970,”innocuously called “Allowances,”to ensure that total spend- ing and committee allocations do not change. Despite the fact that these amendments actually do nothing, they have proliferated to the point where dozens of such amendments are offered every year. When the fifty hours of Senate debate time on the Budget Resolution expires, the Senate must still vote on all amendments that are offered, albeit without debate. The result is the now infa- mous Budget Resolution “vote-a-rama”—a series of votes, sometimes taking an entire day, on amendments that for the most part have no impact. (A new twist on the annual vote-a-rama came to pass during debate on the FY 2008 Budget Resolution when Senators offered numerous amendments to create Reserve Funds that, as explained earlier, do not actually provide any funds.) The Budget Resolution vote-a-rama has caused the unfortunate misperception that all amendments to the Budget Resolution are just “message” amendments that have no real impact. The reality is that some amendments to the Budget Resolution have a tremen- dous impact on our nation’s fiscal policy. 02_2part.qxp 11/20/07 10:28 AM Page 15

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For example amendments that change Reconciliation instructions can have a pro- found impact on entitlement programs or tax laws. In 2004, I met with a Senator to ask for his support for an amendment to delete Reconciliation instructions from the Bud- get Resolution. The Instructions would have required the Finance Committee to report legislation cutting $10 billion (out of the Medicaid program). At first, the Senator dis- missed my request, saying that he would not support Budget Resolution amendments that don’t have any practical impact. Once I explained that the amendment would actu- ally change the Reconciliation Instructions and have a profound impact on the Medic- aid program, he agreed to support the amendment, and his vote became one of the pivotal votes in eliminating billions of dollars in Medicaid cuts from that year’s budget process.

As noted above, the Budget Resolution is a concurrent resolution of Congress and, therefore, action is completed when both houses of Congress have adopted the Confer- ence Report. The Budget Resolution is not a law and is not presented to the President for signature. It functions as an internal procedural mechanism of the Congress to guide its subsequent deliberations on appropriations, entitlement programs, and changes in tax laws.

May–September: Appropriations Action and Budget Reconciliation The Appropriations Process. Following adoption of a Budget Resolution Conference Report and the issuance of committee allocations, the Appropriations Committees in the Senate and House subdivide their allocations among their twelve respective subcommittees and proceed with mark-up of the annual appropriations bills. These suballocations are known as “302(b) allocations.” Adoption of the 302(b) subcommittee allocations is a critical point in the budget process—one of the most closely-watched—because it prioritizes the total funds available for annually appropriated programs. For FY 2008, the Appropriations Committees of the House and Senate have $953 billion in budget authority to subdivide among their various subcom- mittees. (Appendix K displays an example of 302(b) subcommittee allocations.) Once the Appropriations Committees vote on 302(b) allocations for their respective sub- committees, the appropriations process starts in earnest—although prior to receiving their allocations, the appropriations subcommittees have an active hearing schedule during Feb- ruary, March, and April as they review the President’s requests and begin to formulate their own spending priorities. Figure 3 displays the appropriations process that begins with 302(b) allocations. After hearings have concluded, each subcommittee chairman drafts an appropriations bill for the upcoming fiscal year and holds a business meeting to “mark up” the appropriations bill. This is where the immense influence of appropriations subcommittee chairmen is displayed, because it is the subcommittee chairmen who place a draft bill—known as a “chairman’s 02_2part.qxp 11/20/07 10:28 AM Page 16

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FIGURE 2-2.2: The Appropriations Process

MAY-SEPTEMBER: THE APPROPRIATIONS PROCESS FOR THE 12 ANNUAL APPROPRIATIONS BILLS

Budget Resolution Generates “302(a)” Lump-Sum Allocations to: House Appropriations Committee Senate Appropriations Committee ▼▼

“302(b)” Allocations to “302(b)” Allocations to 12 Subcommittees 12 Subcommittees ▼▼

Subcommittees “Mark Up” Subcommittees “Mark Up” Appropriations Bills Appropriations Bills ▼▼

Full Committee Mark-up of Full Committee Mark-up of Each Appropriations Bill Each Appropriations Bill ▼▼

House Floor Action on Each Senate Floor Action on Each Appropriations Bill Appropriations Bill ▼▼

House-Senate Conference Committee on each of the 12 Appropriations Bills ▼

House: Final Action on Each Conference Report ▼

Senate: Final Action on Each Conference Report ▼

President for Signature

mark”—in front of their respective subcommittees for consideration. The chairman’s mark distributes the subcommittee’s 302(b) allocation among all of the programs, projects, and activities within their subcommittee’s jurisdiction. The influence of the subcommittee chairs— in distributing billions of dollars among Federal programs—is so widely recognized that they are generally referred to as the “Appropriations Cardinals.” The most important thing to understand about the appropriations subcommittee mark- ups—and the full committee mark-ups and Floor action that follow—is that the 302(b) allo- 02_2part.qxp 11/20/07 10:28 AM Page 17

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cations to the appropriations subcommittees are binding. A procedural objection can be raised on the Senate or House Floor against any appropriations bill that exceeds its subcommittee’s allocation. Waiving this budgetary constraint in the Senate requires sixty votes (a very diffi- cult threshold to reach). Consequently, amending an appropriations bill is a zero-sum game.If a Senator or Representative wants to add funds to an appropriations bill at the subcommit- tee mark-up, or later on at the full-committee level or on the Senate or House Floor, he or she must propose a reduction in funding elsewhere in the bill. For example, assume that a Member of the Senate Labor-HHS-Education subcom- mittee has attempted—unsuccessfully—to persuade his subcommittee chair to provide $10 million for a new initiative within the Department of Health and Human Services. If the Senator wants to offer an amendment to add the proposed $10 million to the chair- man’s mark at the subcommittee’s mark-up, he or she must at the same time propose an offset—that is, a reduction of $10 million elsewhere in the bill. Needless to say, this is not easy to do; any spending reduction elsewhere in the bill will gore someone’s ox, as the say- ing goes. Once an appropriations subcommittee has completed marking up its appropriations bill for the upcoming Fiscal Year, the bill then goes to the full Appropriations Committee for consideration. The Senate Appropriation Committee has twenty-nine members, and the House Appropriations Committee has sixty-six members. At the full committee mark- up of an appropriations bill, any Member can offer an amendment, but—as in the case of the subcommittee mark-up—it is a zero-sum game; all proposed amendments must be offset. Following full committee action, the appropriations bill travels to the House or Senate Floor, respectively, for consideration by the full chamber. Typically, appropriations bills reach the House Floor before the Senate Floor, because the House asserts the right to originate appropriations bills.7 During Floor action—as in subcommittee and full committee mark- ups—Representatives and Senators may offer amendments to add spending to the bills but must include offsets in their amendments to prevent the relevant subcommittee’s 302(b) allocation from being exceeded. (See appendix O for additional rules that apply to Floor con- sideration of Appropriations measures.) After the House and Senate have both acted on a particular appropriations bill, the bill then goes to a House-Senate Conference Committee, generally composed of senior mem- bers of the relevant House and Senate appropriations subcommittees. The task of the con- ferees is to resolve all differences between the two versions of the bill, producing a compromise version known as a conference report. The major constraint under which the conferees operate is to produce a conference report that complies with the 302(b) subcom- mittee allocations in both the House and Senate. When they arrive at such a compromise, the House and Senate vote on the appropriations conference report and the bill is sent to the President for signature.

Budget Reconciliation. In years when the Congress has chosen to include Budget Recon- ciliation Instructions in the Budget Resolution, the authorizing committees of the Senate and House proceed to mark up Budget Reconciliation legislation about the same time the appropriators are working on the twelve appropriations bills (i.e., May and June).8 The 02_2part.qxp 11/20/07 10:28 AM Page 18

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Reconciliation process is used when the Congress wants to fast-track substantial changes in tax or entitlement laws. Under this filibuster-proof procedure, the Congress—by including Reconciliation Instructions in the Budget Resolution—directs specific authorizing com- mittees to report legislation that cuts spending or increases tax revenues by changing pro- grams within their jurisdiction. All committees, so instructed, have unfettered discretion to fulfill the instructions as they see fit as long as the legislation they report is within their jurisdiction, meets the deadline set forth in the Budget Resolution, and fulfills the Budget Resolution directive to cut spending or raise revenues. (Although Reconciliation, during the 1980s and 1990s was used to achieve deficit reduc- tion in an expedited manner, in recent years it was used to fast-track legislation that cut taxes and increased deficits. However, this use of Reconciliation may be over, with the Senate’s adop- tion in 2007 of a procedural prohibition on Reconciliation legislation that increases deficits.9) The Budget Act gives the Senate Finance Committee special flexibility in meeting Rec- onciliation instructions. If the Committee is instructed to cut spending by a specified amount and to raise revenues by a specified amount, the committee can choose to cut more spending and raise less revenues, or vice versa, as long as it achieves the same net amount of required deficit reduction. (We used this procedure—known as the “fungibility rule”10— at the Finance Committee in 1993 in order to facilitate enactment of a half-trillion-dollar deficit reduction bill.) Surprisingly, the Budget Committee’s role in the Budget Reconciliation process is largely ministerial. The Senate and House Budget Committees, respectively, simply take the legisla- tion reported by the respective Senate and House authorizing committees and package the legislation—without change—into a single Senate bill and a single House bill for considera- tion by the respective chambers. The most important aspect of the Reconciliation process—and the budget process itself—is that Reconciliation legislation is protected by extraordinary rules that radically limit Floor debate and amendments—short-circuiting the regular rules of the Senate. The Standing Rules of the Senate, many of which have been in place since the founding of the Republic, generally protect the right of all Senators to engage in (1) unlimited debate and (2) the unlimited right to offer amendments. This is the heart and soul of the Senate— designed to ensure that all points of view can be fully debated. Unlimited debate in the Senate. Votes do not occur in the Senate until all debate on a matter is completed. Consequently, opponents of a particular measure can block it simply by engaging in extended debate. This is the Senate filibuster—made famous by Jimmy Stewart’s portrayal in Mr. Smith goes to Washington. A filibuster is nothing more than the continuation of debate in order to prevent a vote. The only way to stop a filibuster is by shutting down debate with a procedure known as “cloture.”Here’s the key point: invoking cloture requires a three-fifths vote—sixty out of one hundred Senators.11 In recent years, filibusters have been threatened more and more frequently. When I began working in the Senate in 1983, filibusters were a relatively rare occurrence. But oppo- nents of legislation now routinely threaten to filibuster. It has therefore become almost an accepted fact in the Senate that major legislation requires the support of sixty, not fifty-one Senators, because sixty is the number needed to invoke cloture and bring matters to a final vote.12 02_2part.qxp 11/20/07 10:28 AM Page 19

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THE REAL STORY BEHIND “COBRA” Most Budget Reconciliation bills have very bureaucratic sounding names, such as the Omnibus Budget Reconciliation Act of 1993. But there is one Reconciliation bill that much of the American public has actually heard of: COBRA—the Consolidated Omnibus Budget Reconciliation Act of 1985. COBRA has become well known because it contains a provision requiring employers to offer extensions of health insurance to former employees—which has been a lifesaver for many American families. But why the name COBRA? In 1985, I and the rest of the Senate Budget Committee staff were sitting in Staff Director Steve Bell’s office getting ready to package all of the Reconcil- iation submissions from the various authorizing committees into a single bill to send to the Senate Floor. Steve happened to muse about whether we should give the bill a name other than Omnibus Budget Reconciliation Act—after all, this would be the fifth in a row. Paul Heilig, the defense budget analyst on the staff jokingly suggested that instead of another “OBRA,”why not “COBRA”? That got almost instant approval from the rest of the assembled staff; we just needed to figure out what the C would stand for. It wasn’t long before one of the staff suggested “consolidated,” since we were in the midst of packaging or “consolidating” the Reconciliation submissions from the Senate’s authorizing committees. And thus was born COBRA. What we didn’t know at the time was that the health insurance provisions in the bill would make it virtu- ally a household name.

Unlimited right of Senators to offer amendments. The other major privilege of Senators is the power of unlimited amendment. In general, Senators can offer any amendment on any subject to any bill. This right of amendment includes “nongermane” amendments—in other words, amendments that have nothing to do with the underlying bill being debated. (This may seem like a wildly inefficient way to legislate, but it actually has the undeniable virtue of ensur- ing that minority points of view get public attention in the Senate—unlike the House where the majority party has the procedural means to severely limit debate and amendment.13)

Budget Reconciliation: Short-circuiting Senate Rules. The Budget Reconciliation process effectively short-circuits Senate rules because the Budget Act protects Reconciliation bills with (1) a very strict (twenty-hour) time limit on debate and (2) a very strict germaneness restriction on amendments. (These same significant protections apply to Congressional Budget Resolutions: Budget Resolutions cannot be filibustered and amendments are subject to strict limitations.) The limit on debate means that Reconciliation bills (and Budget Resolutions) cannot be fil- ibustered. Consequently, no matter how controversial a Reconciliation bill or Budget Resolu- tion may be, passage in the Senate requires fifty-one votes, rather than the sixty votes that would ordinarily be necessary to invoke cloture (end debate and get to a final vote) on a con- troversial bill. By looking at recent political history one can easily see how significant this no-filibuster rule for Reconciliation bills has been. Most of President George W. Bush’s major legislation has passed under the protection of Reconciliation rules. 02_2part.qxp 11/20/07 10:28 AM Page 20

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In 2001, President Bush secured his massive trillion-dollar-plus tax cut legislation through the Budget Reconciliation process. When the Senate in April 2001 considered a Budget Res- olution that included Reconciliation instructions for the Finance Committee to report legis- lation cutting taxes by $1.25 trillion over a ten-year period, Senate Republicans were able to muster only fifty-three votes—well short of the sixty votes normally needed for controversial legislation. Similarly, in 2003, the President’s second major round of tax cuts—the Jobs Growth Tax Relief Reconciliation Act of 2003—passed the Senate by a final vote of 51–50 (with the Vice President voting for the bill). As in the case of the 2001 tax legislation, Senate Republican lead- ers in 2003 had well short of the sixty votes normally needed to pass major, controversial leg- islation. Reconciliation’s no-filibuster rule, once again, enabled passage of the President’s legislation. And again, in 2006, the no-filibuster rule on Reconciliation legislation worked to the Pres- ident’s advantage. The Congress passed cuts in Medicaid, student loans, and other entitlement programs—which Democrats strongly opposed. The bill ultimately passed the Senate 52–47, again well short of the sixty votes that would have been needed to pass the legislation absent the no-filibuster protections unique to Reconciliation Bills and Budget Resolutions. The “germaneness” restriction on amendments to Reconciliation bills, a fact often over- looked, is equally significant. “Germaneness” is much stricter than mere relevance. An amendment is “germane” only if it strikes a provision, changes a number, limits some new authority provided in the legislation, or expresses the “sense of the Senate.” Effectively, this means that any substantive amendment offered to a Reconciliation bill on the Senate Floor is nongermane and can only be considered if the restriction is waived by a vote of sixty Senators. For example, assume that Reconciliation legislation reported by the Senate Finance Com- mittee proposes to enact certain changes in Medicare in order to generate budget savings. If a Senator feels that the proposed cuts are bad policy and wants to offer alternative budget sav- ings in the Medicare program or a different entitlement program, the amendment would be nongermane. The only way to gain consideration of the amendment would be to waive the Budget Act’s germaneness rule, which requires sixty votes. The same scenario holds for tax legislation. If the Finance Committee has proposed to increase revenues by closing a particular tax loophole, or to cut specific taxes, a Senator would have to obtain sixty votes for a Budget Act waiver in order to gain consideration of an alter- native proposal. Germaneness restrictions therefore give the committees of the Senate virtually unfettered authority over the substance of Reconciliation legislation. Once the legislation reaches the Sen- ate Floor and is protected by the germaneness restriction on Floor amendments, it is extremely difficult to amend the legislation without garnering sixty votes to waive the germaneness restriction. Reconciliation and the Byrd Rule. Because Budget Reconciliation is such a radical departure from the way the Senate normally does its business, Senator Robert C. Byrd (D-WV) created in 1985 what has become known as the “Byrd Rule,”which limits what can be included in a Reconciliation bill. Under the Byrd Rule, all legislation reported in response to Reconciliation instructions must be “budgetary” in nature. Anything not budgetary in nature is considered “extraneous” to the purpose of Budget Reconciliation and in violation 02_2part.qxp 11/20/07 10:28 AM Page 21

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of the Byrd Rule. The concept is simple, although the rule itself is mind-numbing in its complexity. Senator Byrd, a brilliant defender of the Senate’s tradition of unlimited debate and amendment, did not want to see the Reconciliation mechanism become a way for Senate committees to fast-track nonbudgetary legislation through the Senate, immune from filibuster and amendment. In 1985, he was the driving force behind an amendment to the Budget Act14 that per- mits any Senator to raise an objection on the Senate Floor to any provisions in a Reconciliation bill that are “extraneous” to the budgetary purposes of the Recon- ciliation bill. If the Presiding Officer in the Senate—in actuality the Parliamentarian—agrees that the provi- sion falls into the Byrd Rule’s definition of “extrane- ous,” the provision is automatically stricken from the Senator Robert C. Byrd (D-WV) Reconciliation bill. Generally, the rule defines as extraneous, provi- sions that (1) have no cost or (2) are significant policy changes with “merely incidental” bud- getary effects. Senators may challenge a lengthy provision or very small provisions down to the subsection level. The Byrd Rule is explained in greater detail in appendix L. Why the Tax Cuts Expire in 2010. One of the more noteworthy effects of the Byrd Rule is that the tax cuts enacted in the 2001 Reconciliation tax legislation expire after ten years because the Byrd Rule specifically defines as “extraneous” any provisions that have the effect of increas- ing spending or decreasing revenues beyond the “budget window.” In this case, the Budget Resolution that generated the 2001 Reconciliation Bill covered a ten-year budget period, so if the tax cuts had extended into the eleventh year they would have violated the Byrd Rule and exposed the tax cuts to parliamentary oblivion. This is why we have the unusual situation of the estate tax phasing down to nothing by the end of this decade and springing back up in 2011 at its pre-2001 level. There is a logical purpose behind this seemingly strange rule. Senator Byrd and his col- leagues wanted to be sure that the Reconciliation process would not be misused by enacting legislation that brings deficits down during the five- or ten-year budget window and then reverses course and increases deficits in the “out-years” (i.e., the years beyond the budget window).15 Clearly Senator Byrd and his colleagues who joined him in framing the Byrd Rule in 1985 intended that Reconciliation, as an extraordinary departure from normal Senate procedures, be used only to reduce deficits. I was on the staff of the Senate Budget Committee in 1985 when the Byrd Rule was being drafted, and there is no question that the general bipartisan consen- sus in the Senate at that time—and until the late 1990s—was that Reconciliation was to be used for deficit reduction.

Reconciliation and the House of Representatives. Little has been said thus far about Rec- onciliation procedures in the House of Representatives. Unlike the Senate, where Reconcilia- tion represents a radical departure from normal procedures, the Reconciliation limitations 02_2part.qxp 11/20/07 10:28 AM Page 22

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on debate and amendments are not a radical departure for the House. In the House of Rep- resentatives, the powerful Committee on Rules routinely imposes time limitations on debate and strict limitations on the right to offer amendments. Consequently, Budget Reconciliation procedures do not significantly change the normal order of business in the House.

October 1: Fiscal New Year, Continuing Resolutions, Omnibus Bills, and Government Shutdowns You will not be surprised to learn that the budget process often does not work as intended. In recent years, appropriations bills have seldom been completed by the start of the new fiscal year. In fact, in the last 32 years Congress has, only four times, completed all of its annual appropriations bills by the start of the new fiscal year.16 (See appendix N.) However, the Constitution is very clear that “no money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law.”17 In addition, in 1870 Congress enacted the Anti-Deficiency Act strictly prohibiting Federal programs from operating without spe- cific budget authority appropriated by Congress. Put simply, without appropriations, Federal managers have no legal authority to obligate the U.S. government’s resources. Federal man- agers who attempt to do so are subject to disciplinary action and criminal prosecution. (See appendix C.) Therefore, if appropriations are not enacted by October 1, the beginning of the new fiscal year, Federal departments and agencies must shut down (although special provi- sions permit certain “essential government employees” to continue working). Continuing Resolutions. To avoid a shutdown of government programs not funded by the start of the fiscal year, the Congress typically passes stop-gap measures called “continuing resolutions” or “CRs.” These joint resolutions of Congress (requiring presidential signature) authorize agencies to continue current programs for a period of time according to a formula, usually the previous year’s levels, or the lower of the funding levels in either the House-passed or Senate-passed bill.18 The number of continuing resolutions needed until all programs are funded for the new fiscal year can vary dramatically depending on how contentious the fund- ing issues are. For fiscal year 1993, one CR was adopted, while in fiscal year 1996, when Pres- ident Clinton and Congress had a major political showdown over budget cuts, thirteen CRs were adopted. Omnibus Appropriations Bills. In addition to temporarily continuing funding to avoid government shutdowns, continuing resolutions are also frequently used as the legislative vehi- cle for “omnibus appropriations bills.” These are bills that package together all of the unfin- ished appropriations bills. Many will remember the image of President Ronald Reagan at a State of the Union Address, putting an eighteen-inch stack of paper on the dais—the previous year’s omnibus appropriations bill—and declaring that he would never again sign an omnibus bill. There is much opposition to the use of omnibus appropriations bills both within and out- side the Congress, because the sheer length of the bills makes it impossible for any Member of Congress to exercise anything close to due diligence in understanding the totality of what they are voting on. Yet, getting to closure on the new year’s funding levels at the end of a congres- sional session very often leads to the legislative vehicle everyone loves to hate—the omnibus appropriations bill. (In recent years, when eight, ten, or all eleven of the regular appropriations bills are packaged together, they are referred to as an omnibus appropriations bill. When four 02_2part.qxp 11/20/07 10:28 AM Page 23

THE CONGRESSIONAL BUDGET PROCESS 23

Ronald Reagan declares that he will never again sign an omnibus appropriations bill. Vice President George Bush and House Speaker Jim Wright preside over the Joint Session. By Permission, Ronald Reagan Library.

or five bills are packaged together, it has become common—in budget-speak—to call them a “minibus.”) As an example of how an appropriations season might proceed, consider funding for FY 2004. By the beginning of the fiscal year (October 1, 2003), only three of the thirteen appro- priations bills had been enacted.19 A government shutdown was averted by adopting a series of five CRs. Between October and December, three more appropriations bills became law. Funding for FY 2004 was finally completed January 23, 2004, when President George W. Bush signed into law an omnibus appropriations act including the remaining seven appropria- tions bills.20 Government Shutdowns. When fiscal politics become extremely intense, Congress and the President have on occasion failed to enact continuing resolutions to avert a shutdown of Federal departments and agencies at the start of the fiscal year. The longest such shutdown, causing the furloughing of 284,000 employees,21 lasted for three weeks, from December 16, 1995, through January 6, 1996. President Clinton and Republican congressional leaders were in a tense stand- off over tax cuts and proposed cuts to Medicare, Medicaid, education and environment pro- grams, and AmeriCorps. (As the political stand-off continued, I had the dubious honor during the government shutdown of generating OMB’s daily report to Congress on the worsening impact of the shutdown.) Following the shutdown of FY 1996, there have been numerous proposals to prevent future shutdowns by providing for “automatic continuing resolutions” when funding deadlines are missed. However, because of the intense political fallout from the standoff of 1996 (primarily blaming Congress for the shutdown), recent Congresses have studiously avoided shutting down the government, eliminating any political momentum for enacting an “automatic CR.” 02_2part.qxp 11/20/07 10:28 AM Page 24

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Supplemental Appropriations

In the eyes of its supporters, supplemental spending gives the Congress flexibility to respond to problems or priorities that may not have been anticipated during the regular cycle of annual appropriations. In the view of its detractors, supplemental spending allows lawmak- ers to circumvent budgetary enforcement mechanisms.22 —CBO

During the course of a fiscal year, it is routine for the President to request, and Congress to enact, “supplemental appropriations” to provide funding for:

• Mandatory or discretionary programs that turn out to have greater spending needs than earlier anticipated; • Disaster response (natural disasters such as Hurricanes Katrina and Rita, and “nonnat- ural” disasters such as the Oklahoma City bombing in 1995 and the 9/11 attacks in 2001); • Ongoing military needs, particularly during a war; and • New programs authorized after enactment of the regular appropriations bill.

Supplemental appropriations bills are typically enacted in the spring, midway through a fiscal year—anywhere from March to June. Items of spending included in supplemental appropriations are generally classified as “emergency requirements”—exempted from spending limits—in order to avoid breaching the Budget Resolution 302(a) allocation to Appropriations Committees and the aggregate spending limits in the Budget Resolution.23 According to CBO, 92% of the discretionary supplemental appropriations enacted during the 1990s were designated as emergency spending in order to be exempted from spending limits. In addition to the use of “emergency designations,” the Congress often rescinds budget authority from other programs to “pay for” the cost of the supplemental bill. For example, according to CBO, Congress provided almost $138 billion in supplemental appropriations in the 1990s, which were accompanied by $52 billion in rescissions.24 Critics argue, however, that some of the rescinded budget authority would never have been used anyway, and other BA would have spent out more slowly than the supplemental funds they’re intended to “offset.”25 More recently, the practice of rescinding BA to pay for supplemental appropriations has waned. Between 2003 and 2006, CRS calculates, less than 8% of supplemental appropriations were offset, compared with 36% in the 1990s.26 CRS conducted an extensive study of supplemental appropriations since 1981 and con- cluded that “the major purposes of supplemental appropriations have changed over the past 25 years.” Their study notes that “in the 1980s, almost half of supplemental appropriations were for mandatory27 programs such as unemployment compensation, and the rest were for discretionary spending.”After 1990, the analysis continues, “over 90% of supplemental appro- priations have been for discretionary spending, as the major purpose has shifted toward fund- ing natural disaster relief.”28 A recent example of major disaster relief is the supplemental funding provided follow- ing Hurricanes Katrina and Rita in 2005—which caused widespread loss of life, displacement, food and medical shortages, flooding, and unemployment. As reflected in table 2-2.1, within two weeks after the Hurricanes struck, Congress passed two supplemental appropriations bills 02_2part.qxp 11/20/07 10:28 AM Page 25

THE CONGRESSIONAL BUDGET PROCESS 25

TABLE 2-2.1: Supplemental Appropriations, Fiscal Years 2000–2007 Budget Fiscal Year Authority (in billions Date of dollars) Enacted Military Construction, 2000 $15.2 07/13/00 Defense, 2000 $1.8 08/09/00 Emergency Supplemental and Rescission, 2001 $7.5 07/24/01 Recovery and Response to Terrorism Acts, 2001 $20.0 07/18/01 Defense, 2002 $20.0 01/10/02 Emergency Supplemental & Rescission, 2002 $25.3 08/02/02 Emergency Wartime Supplemental Appropriations Act, 2003 $79.2 04/16/03 Emergency Supplemental Appropriations for Disaster Relief, 2003 $1.0 08/08/03 Legislative Branch, 2003 $0.9 09/03/07 Supp for Defense/Iraq/Afghanistan, 2004 $87.5 11/06/03 FY 05 Defense Appropriations (titles 8, 9, 10 provided ’04 supp. funds) $28.2 08/05/04 Emergency Disaster Relief Supp, 2004 $2.0 09/08/04 Emergency Supp for Hurricane Disasters Assistance Act, 2005 $14.5 10/13/04 Emergency Supp Approps for Defense, GWOT, Tsunami Relief, 2005 $82.1 05/11/05 Interior Appropriations, 2005 $1.5 08/02/05 Emergency Supp, Hurricane Katrina, 2005 $10.5 09/02/05 Second Emergency Supp, Katrina, 2005 $51.8 09/08/05 Defense Appropriations, 2006 $50.0 12/30/05 Emergency Supp for Defense, Hurricane Recovery, 2006 $94.5 06/15/06 Supplemental for defense and Katrina relief, 2007 $120.0 05/25/07 Source: Congressional Budget Office

providing a combined $62 billion for relief and recovery needs.29 In addition, Congress has provided additional Katrina relief in FY 2006 and FY 2007 supplementals. The other heavy use of supplemental funding in recent years has been for the wars in Iraq and Afghanistan. From the beginning of the Afghanistan war in FY 2002, through funding of both Iraq and Afghanistan in FY 2007, nearly all of the funding for both military operations has been provided through emergency supplemental appropriations.30 According to CRS, this contrasted with the funding of prior military conflicts where supplemental bills generally funded the “initial stages of military operations,” but Administrations transitioned to fund- ing through regular appropriations bills “as soon as even a limited and partial projection of costs could be made.”31 The continuing practice of funding operations in Iraq and Afghanistan through supple- mental bills led to increasing discontent among Members of Congress who wanted the war funding requests included in the President’s regular February Budget. The principal reason is 02_2part.qxp 11/20/07 10:28 AM Page 26

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that regular annual budget requests, unlike supplemental requests, are accompanied by highly detailed “budget justifications.” For example, in an early 2007 article investigating war costs, Congressional Quarterly reported the following:

Though the armed services send congressional committees thousands of pages of copi- ously detailed justifications for their regular budget requests each year, the supplemental requests that go to Congress are almost terse. The request from the Department of Defense for about $68 billion in supplemental spending for fiscal 2006, for example, was 73 pages long....One line item, $5.9 billion for “Iraqi and Afghan Security Forces,”was justified in about three and one-third pages, mostly composed of brief descriptions of various expenditures...The request also included $296 million, with no further expla- nation, for “police assets maintenance—to develop Ministry of Interior’s capability to maintain equipment and buildings, to include the maintenance of a large volume of American-made vehicles; stocks must be established and maintained.”32

In response to the growing frustration over inadequate detail on war funding requests, Congress mandated in the FY 2007 Department of Defense Authorizations Act that begin- ning with FY 2008 the President’s Annual Budget must include “(1) a request for the appro- priation of funds. . .for ongoing military operations in Afghanistan and Iraq; (2) an estimate of all funds expected to be required in that fiscal year for such operations; and (3) a detailed justification of the funds requested.”33 The Administration responded by including in its FY 2008 Budget a $145 billion request for Iraq, Afghanistan and other Global War on Terror operations for FY 2008. However, eight months later the Administration increased their FY 2008 request to $196 billion.

Notes

1. Lewis D. Eigen and Jonathan P. Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 26. 2. U.S. Constitution, Article I, Section 9, Clause 7: “No money shall be drawn from the treasury, but in consequence of appropriations made by law.” 3. For a good overview of the budget process prior to 1974, see U.S. General Accounting Office, Office of the General Counsel, “Principles of Federal Appropriations Law,” 3rd ed., vol. 1, GAO-04- 261SP, pp. 1-14–1-24. 4. However, the split between mandatory spending and discretionary spending within a particular budget function impacts the size of the total discretionary allocation to the House and Senate Appro- priations Committees and the amount of direct spending allocated (or “crosswalked”) to the authoriz- ing committees. 5. H.Rpt. 110–153, Conference Report to accompany S.Con.Res. 21, Concurrent Resolution on the Budget for Fiscal Year 2008. 6. The Budget Resolution is therefore in the form of a “concurrent resolution” (S.Con.Res. __ or H.Con.Res. __), which is a legislative vehicle requiring approval by both houses of Congress, but is not presented to the President. 7. Article I, Section 7, of the Constitution provides that “All Bills for raising Revenue shall originate in the House of Representatives.” Over the generations, the House has chosen to interpret “Revenue” broadly to include all tax and spending bills (which is consistent with the Framers’ intent as set forth in the Federalist Papers). 02_2part.qxp 11/20/07 10:28 AM Page 27

THE CONGRESSIONAL BUDGET PROCESS 27

8. Reconciliation instructions were first used in the FY 1980 Budget Resolution and since then have been included in 18 of the 26 Budget Resolutions. Source: review of each Budget Resolution since FY 1980. 9. Section 202 of the FY 2008 Budget Resolution, S.Con.Res. 21 (110th Cong., 1st Sess.). 10. Section 310(c) of the Congressional Budget Act. 11. The process of bringing debate to a close, and ending a filibuster is known as “invoking cloture” and is established by Senate Rule XXII. Although invoking cloture now requires sixty votes, at the time Mr. Smith Goes to Washington was made, Senate Rules still required a two-thirds vote to end a filibuster. 12. The reference to fifty-one votes refers to a “simple majority” of 50 percent plus one, assuming all one hundred Senators are voting. 13. In the House, the Rules Committee—which is heavily weighted toward the majority party— writes the rules of debate and amendment for all major legislation. 14. Section 313 of the Congressional Budget and Impoundment Control Act, as amended. 15. Section 313(b)(1)(E) of the Congressional Budget and Impoundment Control Act, as amended, states, “A provision of a Reconciliation bill . . . shall be considered extraneous (i.e. in violation) if it increases, or would increase, net outlays, or if it decreases, or would decrease, revenues during a fiscal year after the fiscal years covered by such Reconciliation bill . . . and such increases or decreases are greater than outlay reductions or revenue increases resulting from other provisions in such title in such year.” 16. David Baumann, “Congress: How We Got Here—Again,” National Journal, November 13, 2004. 17. U.S. Constitution, Article I, Section 9, Clause 7. 18. For example, under the initial FY 2007 CR: (1) where both houses had passed their regular ver- sions of an appropriations bill, funding was continued at the lower of the amounts provided in the House-passed version, the Senate-passed version, or the ’06 level; (2) an account funded by only House or Senate was protected until final ’07 funding decisions were made; (3) accounts funded in ’06, but not by either house, were not funded; and (4) entitlements that were not permanently appropriated received stopgap funding sufficient to fulfill the legally required payments. Sandy Streeter, “Continu- ing Appropriations Acts: Brief Overview of Recent Practices,”CRS Report No. RL30343, (Washington, D.C.: Congressional Research Service, Library of Congress, November 15, 2006), 3–4. 19. At that time there were thirteen regular appropriations bills. Under reorganization of the appro- priations subcommittees, beginning in 2007, there are twelve bills. 20. Kevin Kosar,“Shutdown of the Federal Government: Causes, Effects, and Process,”CRS Report No. 98-844, (Washington, D.C.: Congressional Research Service, Library of Congress, September 20, 2004), 2. 21. Another 475,000 federal employees, deemed to be “essential,”continued to work in a nonpay sta- tus. “Essential employees . . . are those performing duties vital to national defense, public health and safety, or other crucial operations.”Essential employees, although not paid during the shutdown, were paid retroactively. Kosar, “Shutdown of the Federal Government,”3. 22. “Supplemental Appropriations in the 1990s” (Washington, D.C.: Congressional Budget Office, March 2001), ix. 23. Regular appropriations bills generally “consume” the entire Budget Resolution allocation of Bud- get Authority to the Appropriations Committees. Supplemental Appropriations must therefore be exempted from the Budget Resolution spending limits. 24. “Supplemental Appropriations in the 1990s,”ix. 25. “Supplemental Appropriations in the 1990s,”xiii. 26. Thomas Hungerford, “Supplemental Appropriations: Trends and Budgetary Impacts Since 1981,” RL33134 (Washington, D.C.: Congressional Research Service, November 8, 2006), 1, 6. 27.“Mandatory spending” refers generally to entitlement programs, which are explained in chapter 2-9 on “Budget Concepts.” 28. Thomas Hungerford, “Supplemental Appropriations,”summary page. 29. Hungerford, “Supplemental Appropriations,”1. 02_2part.qxp 11/20/07 10:28 AM Page 28

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30. In a June 13, 2006 report, the Congressional Research Service calculated that “since the terrorist attacks of September 11, 2001, Congress has appropriated $331 billion for military operations in Afghanistan, Iraq, and elsewhere. Of that amount, $301 billion, or 91%, has been provided either in supplemental appropriations bills or as additional ‘emergency’ funding in separate titles of annual defense appropriations acts.” Stephen Daggett, “Military Operations: Precedents for Funding Contin- gency Operations in Regular or in Supplemental Appropriations Bills,” RS22455 (Washington, D.C.: Congressional Research Service), 1. 31. Daggett, “Military Operations,”2. 32. John Cochran, “Penetrating the Fog of War Costs,” CQ Weekly, January 1, 2007, 14. 33. Section 1008 of H.R. 5122, the John Warner National Defense Authorization Act of Fiscal Year 2007, P.L. 109-364. 02_3part.qxp 11/19/07 7:26 PM Page 29

CHAPTER 2-3

Implementation of Spending Laws

fter the fiscal year begins and appropriations bills are enacted, the next phase of the bud- A get process is implementation of spending laws.

Budget Execution and Control: The Apportionment Process Appropriations (in the form of budget authority1) are not immediately available to Federal agencies. A key step in making these funds available is for OMB to release the funds to agen- cies in a process known as apportionment. The purpose of the centralized apportionment process is to ensure that agencies spend their funds effectively, reduce the need to request supplemental appropriations, and avoid exceeding their appropriated budget authority.2 Exceeding congressional appropriations is a serious matter. The Antideficiency Act makes it a criminal offense for any government offi- cial to obligate the government in excess of congressional appropriations.3 OMB apportions budget authority to departments and agencies in one of two ways: (1) by time periods (usually quarterly) or (2) by projects or activities. After OMB apportions budget authority to an agency, the agency then makes “allot- ments” to officials within the agency allowing them to incur obligations on behalf of the Fed- eral government.4

Impoundment Control As discussed above, one impetus for enactment of the Budget Act was an executive-legislative power struggle that erupted during the Nixon Administration over presidential authority to impound budget authority appropriated by Congress.5 Title X of the Budget Act established legal procedures to prevent a recurrence of this dispute and is separately referred to as the “Impoundment Control Act” (ICA). Under the procedures put in place by the Impoundment Control Act, the President may (1) “defer” (delay) using an amount of budget authority until later in the fiscal year or (2) pro- pose to “rescind” (cancel) an amount of budget authority.

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The authority of the President to defer budget authority and propose rescissions of bud- get authority does not apply to the nearly two-thirds of the budget that is consists of manda- tory spending and interest payments. The portion of the budget that is susceptible to rescissions or deferrals is the 38% portion of the budget that is “discretionary” and subject to annual funding decisions. Deferrals. The purpose of the deferral mechanism is to permit the Executive Branch to set money aside until later in the year in order to provide for a contingency or to save money due to changes in operations. The President may not propose a deferral simply because he dis- agrees with the Congress’ appropriations decision. A further restriction is that funds may not be deferred for a period of time that is too long to allow the agency to obligate the funds pru- dently by the end of the fiscal year. A deferral proposed by the President takes effect unless Con- gress passes, and the President signs, a law disapproving the deferral in which case the funds must be released. Rescissions. Conversely, a rescission (cancellation) of budget authority, proposed by the President, does not occur unless Congress affirmatively passes a law approving the cancella- tion within 45 days (of continuous session).6 Consequently, if either the House or Senate fails to enact the President’s proposed rescission of budget authority in a timely manner, the Pres- ident has no choice but to release the budget authority to the agency after expiration of the 45-day period.7 This gives Congress the upper hand in the rescission process. As reflected in a 1999 GAO study, during the Impoundment Control Act’s first quarter century, Congress agreed to rescind only about one-third of the proposed $76 billion in pres- idential rescissions.8 Congress, however, has unfettered authority to initiate its own rescission legislation in order to revise earlier appropriations decisions and has increasingly made use of this authority.9 Both the President and the Congress have used rescissions primarily as a mechanism to shift priorities, rather than to reduce overall spending.10 In drafting the 1974 Impoundment Control Act, Congress put teeth in its limitations on presidential impoundment by empowering the Comptroller General (who heads the Con- gress’ investigative arm, the GAO) to file suit in Federal Court to require the release of appro- priated funds that have been illegally deferred or rescinded.

Notes

1. Budget authority, as explained in chapter 2-1, is legal authority provided by Congress to Federal departments and agencies to enter into obligations that will result in outlays. 2. Executive Office of the President, Office of Management and Budget, OMB Circular No. A-11: Preparation, Submission, and Execution of the Budget, June 2005, §120, 3. 3. Anti-Deficiency Act (enacted in 1870 as part of the legislative appropriations bill). 31 U.S.C. 1341-42; 1511–1519. 4. GAO: “Principles of Federal Appropriations Law,”3rd ed., GAO/04-261SP, January 2004, I-31. 5. For historical background on presidential assertions of impoundment authority, see Virgina A. McMurty, “Item Veto and Expanded Impoundment Proposals,” IB89148 (Washington D.C.: Congres- sional Research Service, September 26, 2005), 1–2. 6. In counting the 45 days, continuity of session is broken by final (or sine die) adjournment at the end of a session or a mid-session adjournment of more than 3 days. If a Congress ends before the 45 02_3part.qxp 11/19/07 7:26 PM Page 31

THE CONGRESSIONAL BUDGET PROCESS 31

days has run, then the President’s proposed rescission is deemed to be resubmitted at the opening of the new Congress and the 45 days permitted for enactment of the rescission starts over. Congressional Budget and Impoundment Control Act, §1011. 7. The Budget Act, in Section 1017, provides procedures for expedited consideration of legislation to enact a proposed rescission. 8. Statement of Gary L. Kepplinger, U.S. General Accounting Office, “Impoundment Control Act: Use and Impact of Rescission Procedures,”Testimony before the Subcommittee on Legislative and Bud- get Process, Committee on Rules, House of Representatives, Report No. GAO/T-OGC-99-56, July 30, 1999. 9. See Kepplinger, “Impoundment Control Act,”Attachment I, where the GAO estimates that between 1974 and 1998, Congress initiated $105 billion in rescissions. Compare this with the same time period when Congress accepted $25 billion of the $76 billion in the Presidents’ proposed rescissions. 10. Kepplinger, “Impoundment Control Act,”5. 02_3part.qxp 11/19/07 7:26 PM Page 32 02_4part.qxp 11/19/07 7:35 PM Page 33

CHAPTER 2-4

Budget Enforcement

“We might hope to see the finances of the Union as clear and intelligible as a merchant’s books,” President Thomas Jefferson wrote to his Secretary of the Treasury, “so that every mem- ber of Congress and every man of any mind in the Union should be able to comprehend them, to investigate abuses, and consequently to control them.” 1

MYTH: The Congressional Budget Resolution does not become law, and the budget process produces little more than a nonbinding budget blueprint with trivial practi- cal impact.

FACT: Key parts of the Budget Resolution are enforceable through parliamentary points of order, and in many fiscal years since enactment of the 1974 Budget Act, the Budget Resolution has impacted the overall amount of appropriations, as well as the enactment of key entitlement reforms and tax legislation. Moreover, the enactment of “PAYGO procedures” and “spending limits” strengthened the congressional bud- get process throughout the 1990s—a key factor in achieving budget surpluses.

he misperceptions of the Congressional Budget Resolution as ineffective or irrelevant are T quite understandable. Congress failed to pass a Budget Resolution 4 times in the last 10 years (see Appendix F)—and the government continued to function. Moreover, the prolifer- ation of nonbinding provisions in the Budget Resolution—

• nonbinding “sense of the Congress” provisions, • nonbinding “policy statements,” • the Senate’s “vote-a-rama,”2 and • the recent proliferation of “reserve funds” that don’t actually fund anything3—

has led many observers to conclude that the Budget Resolution is ineffectual and not worth much attention. However, there are three ways in which the congressional budget process is enforceable and has significantly impacted Federal spending and tax policies: (1) parliamentary points of

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order; (2) Budget Reconciliation; and (3) in the 1990s, the addition of PAYGO and discre- tionary spending limits to the budget process.

Parliamentary Points of Order: Giving Individual Members of Congress Power to Enforce the Budget Resolution In general, a parliamentary point of order allows a Senator or Representative to “rise” or “be recognized” by the Presiding Officer4 to make a procedural objection to a bill, a provision of a bill, an amendment to a bill, or a conference report under consideration by the Senate or House. The Presiding Officer of the chamber (based on advice from the Parliamentarian) will then rule on the point of order. If the point of order is “sustained” (i.e., if the Parliamentar- ian agrees with the objection), the bill or amendment “falls”—meaning it is no longer under consideration by the Senate or House (or in the case of the Byrd Rule in the Senate, the offend- ing provision is stricken from the bill). The Budget Act includes numerous points of order to enforce the spending and revenue aggregates and committee spending allocations, as well as to impose limits on creation of new entitlements, extension of Federal credit, and creation of unfunded mandates. In addition, Budget Resolutions often establish additional points of order to enforce the budget policies reflected in the Resolution. Current Budget Act and Budget Resolution points of order are summarized below. Budget Act points of order are more significant in the Senate than in the House of Rep- resentatives for two reasons. First, the House majority (i.e., the party in power) strictly con- trols the procedures for consideration of all major legislation by adopting “Rules” that determine whether points of order may be raised (as well as what amendments may be offered and how much time a measure will be debated). In the Senate, by contrast, any Senator can raise a point of order at any time. Second, most Budget Act points of order in the Senate can be waived only by a three-fifths vote of the Senate (i.e., 60 votes). The importance of this “supermajority” requirement can- not be overemphasized. Particularly in today’s political circumstances where the Senate is nearly evenly split, it is exceedingly difficult to muster 60 votes to overcome a budget point of order—making the points of order strong enforcement mechanisms. Following are points of order that enable the Budget Resolution to be “enforced.” For a comprehensive list of all points of order, see Appendix B.

• Exceeding aggregate spending limit: The Budget Act prohibits consideration of any spending legislation—discretionary spending or entitlement spending—that would cause the Budget Resolution’s aggregate spending levels for budget authority or outlays to be exceeded. (Sixty votes are required to waive this point of order in the Senate.) • Controlling discretionary spending: The Budget Act prohibits consideration of any appropriations bill that would cause the relevant subcommittee’s 302(b) suballocation to be exceeded. This is one of the most potent budget enforcement mechanisms. By ensur- ing that each subcommittee remains within its suballocation, this point of order keeps discretionary spending within the total levels established by the Budget Resolution. (Sixty votes are required to waive this point of order in the Senate.) 02_4part.qxp 11/19/07 7:35 PM Page 35

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• Controlling mandatory spending: Similarly, the Budget Act prohibits consideration of direct spending legislation—usually a change to an entitlement program—that would cause the relevant authorizing committee’s direct spending allocation (their 302(a) allo- cation) under the Budget Resolution to be exceeded. In effect, this means that if the Bud- get Resolution did not incorporate increased spending in the relevant authorizing committee’s 302(a) allocation, any Senator can object to legislation proposing a new or expanded program (with 60 votes required to waive the point of order). • Breaching the revenue floor: As explained earlier, the Budget Resolution sets forth total levels for both spending and revenues. The Budget Act prohibits consideration of tax cut legislation that would cause Federal revenues to drop below the Budget Resolution’s rev- enue floor in the upcoming budget year, or over the period of years covered by the Bud- get Resolution.

It is important to note that these “points of order” only provide budget enforcement when the Congress has adopted a Budget Resolution. In the last 10 years, the Congress has failed to complete work on a Budget Resolution four times. (See Appendix F.) However, in such years, the House and Senate typically adopt one-house resolutions “deeming” specified numbers to be Budget Resolution totals or committee allocations for the purposes of Budget Act points of order.

Budget Reconciliation: A Powerful Enforcement Mechanism As explained in detail in chapter 2-2, Budget Reconciliation—when utilized—is a potent mechanism for implementing a fiscal plan set forth in a Budget Resolution. There are four reasons for this. Reconciliation:

• Requires congressional committees to report legislation to the Senate and House achiev- ing specified budgetary results; • Packages the legislation into a single bill; • Protects the legislation from Senate filibuster; and • Immunizes legislation from most amendments on the Senate Floor.

The proof of Budget Reconciliation’s importance is readily apparent if one examines the history of Reconciliation legislation. (See the historical table on Budget Reconciliation in Appendix M.) In reviewing the Senate votes on Reconciliation bills enacted since 1980, it turns out that seven of those bills might never have become law without the filibuster-proof pro- tections of Reconciliation, because they lacked the 60 votes necessary to shut down a filibuster. These include the following:

• TEFRA, the Tax Equity and Fiscal Responsibility Act of 1982, which passed the Senate by a slim margin of 52-47. • The Omnibus Budget Reconciliation Act of 1990, the first of the major deficit reduction agreements of the 1990s, which was quite controversial and passed the Senate by a vote of only 54-45. 02_4part.qxp 11/19/07 7:35 PM Page 36

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• The Omnibus Budget Reconciliation Act of 1993, the second major deficit reduction bill of the 1990s, that barely passed the Senate 51–50 but resulted in more than a half trillion dollars of deficit reduction. • The 2001 tax cuts, which remain an ongoing source of controversy and which were enabled by Budget Reconciliation instructions in a Budget Resolution that passed the Senate with a narrow 53–47 margin. • The controversial 2003 tax cuts that reduced dividend and capital gains taxes passed the Senate by a razor-thin margin of 51–50. • The Deficit Reduction Act of 2005 that included controversial entitlement reforms, par- ticularly in the Medicaid program, passed by a narrow margin of 52–47. • The tax cuts of 2006, which extended the 2003 capital gains and dividend tax cuts and which passed the Senate by 54–44, well short of a filibuster-proof margin.

When examining the vast impact these Reconciliation bills have had on tax policy and entitlement programs, it is clear that Budget Reconciliation has become an important and effective mechanism for enforcing a Budget Resolution—far more important, in fact, than originally intended. (The Reconciliation process was originally conceived as a procedure at the end of a fiscal year to make minor changes to spending bills in order to “reconcile” them to a second budget resolution.)5

SHOULD RECONCILIATION BE RESERVED FOR DEFICIT REDUCTION? To fully understand the evolving role of Reconciliation, it is also important to be aware of an ongoing debate, with significant repercussions, over the “appropriate use” of Rec- onciliation. Reconciliation bills were used from 1980 through 1993 exclusively to achieve net deficit reduction through entitlement and tax reforms. Then in 1999, the Republi- can majority in Congress passed a Reconciliation bill that would have cut taxes by $792 billion over 10 years. This was the first time Budget Reconciliation was used to pass deficit-increasing legislation. That bill, HR 2488, was ultimately vetoed. But since the door was opened in 1999 to using the filibuster-proof Reconciliation procedures to pass major tax cuts, the Con- gress followed suit in 2000, 2001, 2003, and 2006. In each of those years, Reconciliation’s filibuster-proof, expedited procedures were used to pass major tax cuts. (The bill in 2000 was vetoed by President Clinton, but President Bush supported and signed the other three bills.) The impact on fiscal policy has been enormous. The 2001 Reconciliation Act cut taxes by $1.349 trillion over 10 years, the 2003 Act cut taxes by $320 billion over 10 years, and the 2006 Reconciliation Act cut taxes by $69 billion.6 In 2007, Senate Budget Committee Chairman Kent Conrad (D-ND), believing that the use of Budget Reconciliation to increase deficits is an inappropriate use of Recon- ciliation’s fast-track procedures, included in the FY 2008 Congressional Budget Reso- lution a new point of order effectively prohibiting the use of Reconciliation procedures to increase deficits.7 02_4part.qxp 11/19/07 7:35 PM Page 37

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Using the Budget Process to Achieve Deficit Reduction Although Congress continues to debate the “appropriate use” of Reconciliation, it is fairly well settled that the congressional budget process was originally designed more than three decades ago to be result-neutral; that is, it was not designed to achieve any particular fiscal objective.8 Rather, it was designed to give Congress the institutional means—through the Budget Com- mittees and CBO—to review the broad range of fiscal policy options and to establish the Bud- get Resolution as a means to implement desired policies. However, Congress has twice superimposed an additional layer of procedures on the Bud- get Act in order to reorient the budget process toward the specific goal of a balanced budget. The first attempt to enforce a balanced budget, the so-called Gramm-Rudman-Hollings law, failed. The second attempt, the Budget Enforcement Act, was generally regarded as a suc- cess until it was effectively repealed in 2001.

Gramm-Rudman-Hollings When deficits began to grow rapidly in the early 1980s (from $74 billion in 1980 to $212 bil- lion in 19859), a group of Senators drafted new budget procedures designed specifically to force a reduction in Federal deficits. The result was the Balanced Budget and Deficit Control Act of 1985, also known as Gramm-Rudman-Hollings (GRH),10 a procedural overlay on top of the congressional budget process that sought to balance the budget by 1991 through a series of declining deficit targets (“maximum deficit amounts”) and automatic cuts (“sequesters”). Sen- ator Warren Rudman, one of the authors of GRH, called it “a bad idea whose time has come.”11 To enforce the declining deficit targets, GRH enacted into law procedures to make auto- matic uniform percentage reductions in all (nonexempt) budget accounts to eliminate any excess deficit amount in any of the covered years. Half of the excess deficit was to be elimi- nated by cutting defense programs and the other half from nondefense programs. GRH was designed to be a budgetary Sword of Damocles12 hanging over the Congress. There was a substantial consensus at the time that this across-the-board “meat axe” approach was an irresponsible way to budget. The idea, however, was that facing the prospect of auto- matic cuts the Congress would be goaded into making policy decisions to comply with the statutory deficit targets, leading to a balanced budget by 1991. Not surprisingly, in 1987 Congress revised the maximum deficit amounts (in a law often referred to as “son of Gramm-Rudman”) extending the balanced budget target year to FY 1993— having realized that the cuts required to achieve budgetary balance in 1991 were unacceptable. The GRH sequester mechanism triggered across-the-board cuts three times—in 1985 when the law was first enacted, and automatic cuts in 1987and 1989, although in the latter two cases Congress limited the amount of the cuts since the amounts required to bring deficits down to the statutory targets were politically unacceptable.13

The Budget Enforcement Act of 1990 By 1990, it had become clear that GRH had failed. Despite the statutory requirement to bal- ance the budget by FY 1993, CBO’s July 1990 Update report projected deficits in excess of $230 billion in 1991 and 1992.14 02_4part.qxp 11/19/07 7:35 PM Page 38

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Consequently, in the fall of 1990, senior officials from the Bush Administration and Con- gress held a “budget summit” at Andrews Air Force Base outside Washington, D.C. They ham- mered out a deficit reduction agreement that proved to be the first of three major deficit reduction laws of that decade—the other two in 1993 and 1997—that ultimately led to a bal- anced budget in FY 1998. Central to the budget summit agreement—and the subsequent path toward a balanced budget—was enactment of the Budget Enforcement Act of 1990 (BEA).15 The Budget Enforce- ment Act of 1990 replaced GRH with two types of budget restraints: (1) discretionary spend- ing limits; and (2) a pay-as-you-go (“PAYGO”) requirement for changes in entitlement programs or tax laws.

Discretionary Spending Limits. The concept of the discretionary spending limits was to set statutory ceilings for discretionary spending (i.e., spending controlled through annual appropriations bills) in each fiscal year. Limits were established on both budget authority and outlays, and they were set at levels consistent with the desired fiscal objective of bringing pro- jected deficits under control. In order to achieve the desired deficit reduction, the 1990 budget law set discretionary spending limits for FY 1991–FY 1993. Separate limits were set for three spending categories: defense, domestic, and international programs. Total discretionary spending limits, without categories, were also set for fiscal years 1994 and 1995. In 1993, President Clinton and the Democratic Congress passed the second major, mul- tiyear deficit reduction legislation of the 1990s—the Omnibus Budget Reconciliation Act of 1993—extending discretionary spending limits through FY 2008.16 In 1997, the third major deficit reduction legislation of the 1990s, negotiated by Presi- dent Clinton and the Republican Congress, extended discretionary spending limits through FY 2002 and, for the first time, established separate limits for defense and nondefense discre- tionary spending.17 The key to the statutory spending limits was the enforcement mechanism. If OMB deter- mined that appropriations legislation exceeded the statutory limits, the President was required by law to execute an automatic across-the-board cut (“sequester”) to eliminate the overage.18 Across-the-board cuts were triggered by spending overages in only one fiscal year, 1991.19 However, as deficits turned into surpluses at the end of the 1990s and the beginning of the new millennium, Congress enacted measures to allow spending to substantially exceed the limits that had been set in the 1997 Budget Act. Congress allowed spending for FY 2001 to exceed the statutory limits for that year by $97 billion, and for FY 2002—the last year of the statutory limits—Congress and the Administration agreed to increase the statutory limit on budget authority by $137 billion.20 The triggering of only one discretionary sequester during the 1990s was also due in part to the existence of an escape valve in the enforcement mechanism: an exemption for emer- gency spending. Under the BEA, any appropriations declared by both the President and Con- gress to be an “emergency requirement” were effectively exempted from the discretionary spending limits.21 As reflected in the text box, this allowed for substantial amounts of addi- tional spending. 02_4part.qxp 11/19/07 7:35 PM Page 39

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EMERGENCY SPENDING: THE LOOPHOLE IN DISCRETIONARY SPENDING LIMITS The discretionary spending limits enacted in the 1990 Budget Enforcement Act, and extended in 1993 and 1997, played a significant role in restraining spending in the 1990s, contributing to the elimination of deficits and the emergence of surpluses. However, the effectiveness of the spending limits was diminished to some extent by use of the “emergency spending” designation. Under the Budget Enforcement Act, spending designated jointly by the President and Congress as “emergency spending” was effectively exempted from the discretionary spending limits (by triggering an automatic upward adjustment in the spending limits to accommodate the emergency spending).22 In theory, the “emergency” designation was to be seldom used. Federal law requires that the President’s Budget should each year request “an allowance for unanticipated uncontrollable expenditures.”23 In other words, the President should ask Congress to set aside money for unexpected emergencies, as many States do. However, as a practical matter, neither the Administration nor Congress attempted to anticipate disaster relief and other emergency requirements when preparing their annual budgets and instead responded, on an ad hoc basis, by utilizing the emergency designation. This led to the “routine” enactment of “emergency supplemental appro- priations bills” as well as the designation of provisions in regular appropriations bills as “emergencies” as reflected in the following chart:

Emergency Spending per Fiscal Year: Budget Authority (in Billions of Dollars)

Emergency Spending in: 1991 1992 1993 1994 1995 1996 1997 1998 1999 Supplemental Appropriations $44.9 $15.9 $5.2 $12.0 $6.2 $4.6 $7.4 $5.6 $12.9 Number of 42 91 54 51 39 54 38 57 111 emergency designations*

Regular Appropriations $1.0 $0.3 $0.9 $1.9 $1.7 $0.5 $2.1 $0.3 $21.4 Number of1251197723103 emergency designations* Source: CBO Memorandum, December 1998; updated June 8, 1999. Note: The large amount of emergency supplemental spending in FY’91 was due to the Gulf War, and in FY’99 to military action in Kosovo. *Refers to the number of budget accounts that contain emergency designations. (Continued) 02_4part.qxp 11/19/07 7:35 PM Page 40

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As observed in CBO testimony in 1998, policymakers have “acknowledged the need for a budgetary safety valve for true emergency needs as part of recent budget enforce- ment disciplines. They are concerned, however, that the safety valve has served as an excuse to avoid planning for those needs and has provided a budgetary loophole for excessive spending.”24 In response to concerns on the part of Members who objected to what they per- ceived as the overuse of the emergency designation, in 1995 the House adopted a rule to prevent nonemergency spending from being added to emergency supplemental bills.25 The Senate took a different approach, in 1999 adopting a point of order that, in effect, required 60 votes to include any emergency designation in an appropria- tions bill.26 Ironically, the largest number of emergency designations occurred in that year.

PAYGO: Controlling Entitlement Spending and Tax Cuts. The concept of PAYGO—the other budget enforcement mechanism established by the 1990 budget law—was, literally, to “pay as you go.” The concept was simple: if sponsors of new legislation wanted to enact new entitlement programs, expand existing entitlements, or enact new tax cuts, they had to find offsets to “pay for” the cost of the new benefits or tax cuts. Offsets could be reductions in enti- tlement (mandatory) spending or tax increases. Put simply, under the PAYGO regime, new tax cuts would have to be paid for by raising other taxes or cutting entitlement spending, or a combination of the two. Similarly, new enti- tlement spending would have to be paid for by cutting other entitlement spending or raising taxes, or a combination of the two. Similar to the discretionary spending limits, the teeth in the PAYGO requirement was a sequester mechanism. OMB would be required to execute automatic cuts in nonexempt27 mandatory spending programs if the cumulative effect of tax and entitlement legislation was to increase the deficit. Under this new system of budget discipline, a negative balance on OMB’s cumulative “PAYGO scorecard” was something to be carefully avoided since Medicare would take the brunt of a PAYGO sequester.28 Other nonexempt programs that would be hit by a PAYGO sequester included farm price supports, child support enforcement, and social services block grants. In other words, PAYGO borrowed from Gramm-Rudman-Hollings the Sword of Damo- cles approach to budget discipline: the automatic across-the-board cuts in Medicare and other programs that would result from violating the PAYGO requirement would be so politically unpalatable that Congress would avoid enacting new entitlement spending or new tax cuts without the required offsets. And, in fact, no PAYGO sequesters were ever triggered. The PAYGO discipline was further augmented beginning in FY 1994 with a new 10-year pay-as-you-go point of order in the Senate. The new point of order, first created in the FY 1994 Budget Resolution, created a parliamentary point of order against any legislation that would result in revenue losses or entitlement spending increases in the upcoming fiscal year, as well as cumulatively for the upcoming 5 years, and the subsequent 5 years, unless fully paid for by offsetting revenue increases or entitlement spending cuts. 02_4part.qxp 11/19/07 7:35 PM Page 41

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Expiration of the Budget Enforcement Act. Beginning with the new Administration in 2001, PAYGO was effectively terminated. In order to enact the massive tax cut legislation of 2001 without triggering a PAYGO sequester, provisions were enacted to circumvent (and effec- tively repeal) the PAYGO process.29 Congress and the Administration subsequently allowed the Budget Enforcement Act, including PAYGO and the statutory discretionary spending lim- its, to expire on October 1, 2002. In addition, the Senate’s PAYGO point of order, which during the 1990s had strengthened the budget enforcement regime by requiring 60 votes to waive PAYGO, was seriously weakened by the FY 2000 Budget Resolution and effectively gutted by the FY 2004 Budget Resolution.30 Part VI of this book will discuss in some detail the return of deficits in the 2000s, but for purposes of this discussion of budget enforcement, it is important to underscore that between 2001 (when PAYGO was effectively repealed) and 2006, there was a surge in deficit spending to pay for $2 trillion in tax cuts and the largest entitlement expansion in four decades.31

2007: The Return of PAYGO. Following the midterm elections of 2006, when Democrats became the majority party in Congress, one of their early priorities was to reestablish the tra- ditional PAYGO regime with automatic cuts as an enforcement mechanism. The Bush Administration, however, was adamantly opposed to reenactment of the Bud- get Enforcement Act as it existed in the 1990s, believing it would hinder extension of tax cuts due to expire in 2010. Instead, the Administration proposed restoring PAYGO for mandatory spending only. Under the Administration’s proposal, entitlement expansions or other new direct spending would have to be paid for with offsetting spending cuts, but new tax cuts would not have to be offset.32 Believing that fiscal discipline needed to be restored on the spending and revenue sides of the budget, congressional Democrats reestablished a PAYGO requirement for new spend- ing and new tax cuts, but as internal rules of the House and Senate because disagreement with the Administration ruled out reenacting statutory PAYGO. In January 2007, the House adopted a new PAYGO rule that created a parliamentary point of order against consideration of direct spending or tax legislation that would increase deficits in either the upcoming 5-year budget period or the upcoming 10-year budget period.33 In May 2007, the Senate followed suit with adoption of the FY 2008 Congressional Bud- get Resolution including a PAYGO point of order against all new spending or tax legislation that would increase deficits in either of the two budget periods. Waiver of the new Senate point of order requires 60 votes.34 The House PAYGO rule, as part of the Standing Rules of the House, must be readopted at the beginning of the 111th Congress to remain in effect. The Senate rule is in effect through FY 2017. What remains to be seen is how effective these internal rules of the House and Senate will be as compared with the Budget Enforcement Act of the 1990s, which included automatic cuts to enforce its PAYGO requirement.

The Debt Limit: No Restraint on Debt As explained in chapter 2-9 on “Budget Concepts,” Federal law contains a statutory limit on the Federal debt commonly called the “debt ceiling.”35 One might assume that a mechanism 02_4part.qxp 11/19/07 7:35 PM Page 42

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called the “statutory limit on the Federal debt” serves as a form of budgetary restraint or enforcement. However, the debt ceiling does not restrain the growth of Federal debt. Rather than being an instrument of fiscal policy, the debt ceiling is a consequence of fiscal policy. Gross (total) Federal Debt—which is the sum of Debt Held by the Public and Debt Held by Government Accounts—grows automatically for two reasons. First, Gross Debt grows as a consequence of deficits that occur when Congress approves Federal spending in excess of rev- enues. When the Federal government’s total spending in a fiscal year exceeds total revenues, the Treasury36 covers the annual deficit by borrowing from (issuing securities to) the public. In this circumstance, Debt Held by the Public increases. Second, Gross Federal debt grows automatically because Gross Federal Debt government trust funds are required to invest their surpluses (End of FY 2007) in Treasury securities in order to protect their funds. These $9.0 Trillion include the Social Security, Medicare, Highway, and Civil Service Trust Funds. In most years, these trust fund sur- $3.9 Trillion pluses are used entirely to finance budget deficits together Debt Held by with additional funds borrowed from the public—causing Govt. Accounts both Gross Federal Debt and Debt Held by the Public to (Social Security & Other increase.37 Trust Funds) Issuance of securities to government trust funds to protect their surpluses, and to the public to cover annual deficits, is not a discretionary action. In the case of annual deficits, once Congress has authorized agencies to enter into $5.1 Trillion spending obligations that exceed Federal revenues, the Trea- Debt Held sury has no choice but to raise the necessary cash by issu- by the Public ing securities and adding to the accumulated debt. Nevertheless, a statutory limit on outstanding Federal debt has been in effect since 1940, when “debt subject to limit” stood at $43 billion. The debt ceiling reached $269 billion by the end of World War II and then declined to Source: OMB, FY 2008 Budget. $250 billion during the postwar boom. It surpassed $500 billion in 1975 and $1 trillion in 1982. Since the early 1980s, the debt ceiling has increased rapidly to $2 trillion in 1986, $3 trillion in 1990, $4 trillion in 1993, $5 trillion in 1996, $6 trillion in 2002, $7 trillion in 2004, $8 trillion in 2006, and nearly $10 trillion in FY 2008.38 Congress has taken up debt ceiling legislation 85 times since it was first imposed in 1940.39 Since the increases in the debt must occur in order to fulfill the obligations of the U.S. gov- ernment and preserve the U.S. government’s creditworthiness, why do we have a statutory ceiling on the public debt? The short answer is that the debt ceiling is a political instrument, not a fiscal instrument. As a political instrument, the debt ceiling serves two purposes. First, Members of Congress concerned about annual deficits and increases in the accu- mulated debt have historically only been willing to increase the debt in relatively small incre- ments to be certain that every time the debt ceiling is reached a fiscal policy debate will take place in Congress to reexamine the nation’s fiscal policy. (Unfortunately, it also allows the more cynical Members of Congress to feign “fiscal responsibility” by voting against authorizing 02_4part.qxp 11/19/07 7:35 PM Page 43

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more debt, without making the difficult spending and tax decisions required to balance the budget.) Second, since increasing the debt ceiling is “must-pass” legislation (since the Treasury must have the ability to raise cash to fulfill U.S. government obligations), the debt ceiling has often served as an attractive legislative vehicle to which Members of Congress can attach legisla- tion. A prime example is Gramm-Rudman-Hollings, discussed earlier, which was enacted in 1985 as an amendment to that year’s debt ceiling legislation and was revised in the 1987 debt ceiling legislation.40 (However, at times, congressional leaders have used procedural maneuvers to preclude amendments to a debt limit increase.41)

Notes

1. Excerpt from a letter President Thomas Jefferson wrote to his Secretary of the Treasury in 1802, quoted by Comptroller General David Walker, op-ed, New York Times, February 4, 2004. 2. See chapter 2-2. 3. See chapter 2-2. 4. In the Senate, the Presiding Officer is the Vice President. However, the Vice President is seldom pre- sent, except to break ties, and the gavel belongs to the President Pro Tempore, who by tradition is the senior member of the majority party—currently Senator Robert C. Byrd (D-WV). The President Pro Tempore, in turn, delegates his duties to other members of the majority party, usually for one hour at a time. As a practical matter, whoever is presiding relies on the Senate Parliamentarian to guide him or her in the per- formance of their duties. In the House of Representatives, the Presiding Officer is the Speaker or, in her absence, the Speaker Pro Tempore. Often, the House conducts legislative business as a “committee of the whole,”in which case the presiding officer is “Chairman of the Committee of the Whole House.” 5. As originally enacted the Budget Act required Congress to adopt a first and second budget res- olution each year. The first Budget Resolution spending and revenue totals served only as targets for congressional action on spending and revenue bills. Spending and revenue totals were not binding (i.e., not enforced by parliamentary points of order) until adoption of a second Budget Resolution. Begin- ning with FY 1983, the Congress discontinued the formulation of second Budget Resolutions and made first Budget Resolution totals binding with the start of the fiscal year on October 1. Beginning with FY 1987, GRH made the Budget Resolution totals immediately binding upon adoption of the one Budget Resolution each spring. U.S. Senate Committee on the Budget, “Gramm-Rudman-Hollings and the Congressional Budget Process,”99th Cong., 1st sess., 1985, S.Prt. 99-119, Appendix I (uncredited author: Charles S. Konigsberg, Staff Attorney). 6. See table 6.1. 7. Section 202 of S.Con.Res. 21 (110th Congress, First Session), adopted May 17, 2007. 8. Conversations over 1983-86 with the Senate Budget Committee’s first Chief of Budget Review Sid Brown. 9. CBO, The Budget and Economic Outlook: FYs 2007 to 2016, table F-1, 140. 10. So named for the legislation’s authors Senators Phil Gramm (R-TX), Warren Rudman (R-NH), and Ernest “Fritz” Hollings (D-SC). 11. Senator Warren B. Rudman of New Hampshire quoted in the Washington Post, October 8, 1989. 12. According to the legend, when Damocles spoke in extravagant terms of his sovereign’s happi- ness, Dionysius invited him to a sumptuous banquet and seated him beneath a naked sword that was suspended from the ceiling by a single thread. In this way, the tyrant demonstrated that the fortunes of men who hold power are as precarious as the predicament in which he had placed his guest. “Damo- cles,” Encyclopaedia Britannica, from Encyclopaedia Britannica 2006 Reference Suite DVD (accessed May 25, 2007). 02_4part.qxp 11/19/07 7:35 PM Page 44

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13. The first sequester was actually integrated into the GRH law itself in 1985, since a political back- lash to growing deficits was the impetus for enactment of GRH. This first sequester cut $11.7 billion in outlays from the fiscal year 1986 budget by cutting defense accounts across the board by 4.9%, and nonexempt nondefense programs across the board by 4.3%. In 1987, an automatic sequester of 10.5% in defense and 8.5% in nondefense was triggered at the beginning of FY 1988, but the $20 billion in cuts were political unsustainable and were superseded by the Budget Summit Agreement of November 20, 1987. The third, and last, GRH sequester was triggered in 1989 and would have resulted in outlay cuts of $16.1 billion for FY 1990, but it was superseded by the Omnibus Budget Reconciliation Act of 1989 which reduced the sequester to $4.6 billion. Robert Keith, “Budget Sequesters: A Brief Review,” RS20398 (Washington, D.C.: Congressional Research Service, March 8, 2004), 4–5. 14. CBO, The Economic and Budget Outlook: An Update, July 1990, ix. 15. The BEA of 1990 is Title XIII of P.L. 101-508, the Omnibus Budget Reconciliation Act of 1990, 104 Stat. 1388. The BEA amended the Balanced Budget and Emergency Deficit Control Act of 1985, P.L. 100-119, otherwise known as Gramm-Rudman-Hollings. 16. Subsequently, the 1994 Violent Crime Control and Law Enforcement Act, P.L. 103-322, estab- lished separate spending limits for violent crime reduction through FY 2000 (designed to ensure a desired multiyear level of spending for crime reduction). Bill Heniff, “Discretionary Spending Limits,” RS20008 (Washington, D.C.: Congressional Research Service, March 19, 2001), 1. 17. Title X of the 1997 law, P.L.105-33, was enacted as the “1997 Budget Enforcement Act.”It estab- lished separate limits for defense and nondefense spending for fiscal years 1998–1999, violent crime reduction spending for fiscal years 1998–2000, and all other discretionary spending for fiscal years 2000–2002. Subsequently, the 1998 highway bill, known as the Transportation Equity Act for the 21st Century, P.L. 105-178, created two additional spending limits on outlays for highway and mass transit spending for fiscal years 1999–2002. And in 2000, the Interior Appropriations Act for FY 2001, P.L.106- 291, established limits for conservation spending, including six subcategories. Heniff, “Discretionary Spending,” 1. The separate categories for highway spending and conservation spending, as with crime reduction spending, were designed more as a guarantee of spending than a budget control mechanism. 18. A sequester of nonexempt discretionary programs would have been triggered by a report issued by the OMB Director within 15 days after the end of a congressional session. If the Director’s report indicated that spending cuts must be made to eliminate a breach of the spending limits, then the Pres- ident was required to issue a sequestration order directing that the necessary across-the-board cuts be made. A further sequester for a fiscal year was required during the following session of Congress (through June 30) if the enactment of a supplemental appropriations act caused a breach of the limits (known as a “within-session sequester”). Enactment of a supplemental after June 30, causing an over- age, would not have caused a sequester; instead, the spending limits for the following fiscal year were to be reduced. Keith, “Budget Sequesters,” 2. See also Robert Keith, “Sequestration Procedures under the 1985 Balanced Budget Act,”RL31137 (Washington, D.C.: Congressional Research Service, Septem- ber 27, 2001). 19. There were two sequesters in FY 1991. On November 9, 1990, $395 million in budget authority was sequestered (canceled) in the international spending category, leading to estimated outlay savings of $191 million; however, that sequester was ultimately rescinded the following spring. On April 25, 1991, $2.4 million in budget authority was sequestered in the domestic category, leading to estimated outlay savings of $1.4 million. Keith, “Budget Sequesters,”5. 20. The Military Construction Appropriations Act for FY 2001 prevented a sequester to eliminate overages of $2.3 billion in BA and $6.8 billion in outlays that would have been required because of the inclusion of FY 2000 supplemental appropriations in the bill. Keith, “Sequestration Procedures,”10–11. In November 2000, President Clinton and the Republican leadership in Congress increased the FY 2001 discretionary budget authority limit from $541 billion (as set forth in the 1997 law) to $637 bil- lion in H.R. 4811, the Foreign Operations Appropriations Act, P.L.106-429. Robert Keith, “Discretionary 02_4part.qxp 11/19/07 7:35 PM Page 45

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Spending Limits for FY 2001: A Procedural Assessment,” RL30696 (Washington, D.C.: Congressional Research Service, August 31, 2001), 4–7. In December 2001, Congress and the Bush Administration substantially increased the statutory Bud- get Authority limit for FY 2002 to $686 billion, $137 billion above the $549 billion statutory limit set for that year in the 1997 Budget Enforcement Act. The legislative vehicle for the increase was the FY 2002 Defense Appropriations Act, H.R. 3338, P.L. 107-117. Robert Keith, “Budget Enforcement for FY 2002: An Overview of Procedural Developments,”RS21084 (Washington, D.C.: Congressional Research Service, May 23, 2002), 3–5. 21. Section 251(b)(2)(A) of the Deficit Control Act of 1985, as amended by the Budget Enforcement Act of 1990. The way emergency exemptions actually operated is that the discretionary spending limits, as well as the Budget Resolution spending totals and committee allocations were adjusted upward to accommodate emergency spending. James V. Saturno, “Emergency Spending: Statutory and Congres- sional Rules,”RS21035 (Washington, D.C.: Congressional Research Service, May 11, 2005), footnote 9. In addition, section 314 of the Congressional Budget Act provides for an adjustment of Budget Reso- lution aggregates as well as committee allocations to reflect spending designated as an emergency under the BEA. 22. Section 251(b)(2)(A) of the Balanced Budget and Emergency Deficit Control Act of 1985, P.L. 100-119 (Gramm-Rudman-Hollings), provided for the automatic adjustment of the statutory discre- tionary spending limits. Section 314(a) of the Congressional Budget Act provides for adjustment of Budget Resolution aggregates and committee allocations to reflect spending designated as an “emer- gency.” 23. 31 U.S.C. §1105(a)(14). 24. James Blum, Deputy Director, CBO, Testimony on “Budgeting for Emergency Spending” before the Task Force on the Budget Process, House Budget Committee, June 23, 1998, 24. 25. House Rule XXI, clause 2(e). 26. Sec. 206(b), H.Con.Res. 68 (106th Cong.). 27. About 80% of outlays associated with direct spending programs were statutorily exempt from automatic sequestration cuts. Exempt programs included Social Security, Federal retirement and dis- ability programs, net interest, certain low-income programs, veterans’ compensation and pensions, reg- ular State unemployment insurance benefits, and certain types of resources such as unobligated balances of budget authority for nondefense programs. 28. Under the automatic sequestration of nonexempt programs, the sequester calculations were made so that two programs with automatic spending increases (COLAs)—the special milk program, and vocational rehabilitation—were cut first, followed by two special-rule programs (Stafford loans, for- merly called guaranteed student loans, and foster care and adoption assistance), and then Medicare and the remaining nonexempt direct spending programs. The automatic cuts in Medicare under PAYGO were limited to 4%. 29. Section102 of P.L.107-117 “zeroed out” the PAYGO scorecard for the effects of the 2001 tax cuts and other direct spending and receipts legislation in 2001 and 2002, thereby precluding a PAYGO sequester. P.L.107-312 zeroed out the PAYGO scorecard for additional legislation in FY 2002, as well as FY 2003, and prospectively eliminated the possibility of a sequester for fiscal years 2004 through 2006 by setting those PAYGO balances at zero. Robert Keith, “Termination of the ‘Pay-As-You-Go’ (PAYGO) Requirement for FY 2003 and Later Years,”Library of Congress, RS21378 (Washington, D.C.: Congres- sional Research Service, December 31, 2002). 30. The Conference Report on the FY 2000 Budget Resolution (H.Con.Res. 68, 106th Congress) stated that the Senate’s PAYGO point of order was being modified to “permit on-budget (non–Social Security) surpluses to be used for . . . tax reductions or spending increases.” H.Rept. 106-91, 72.This modification remained in effect through FY 2002 and paved the way for the conferees on the FY 2002 Budget Resolution (H.Con.Res. 83, 107th Congress) to state that the $1.25 trillion in tax cuts called for 02_4part.qxp 11/19/07 7:35 PM Page 46

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in the resolution “would not result in a violation of the Senate pay-as-you-go point or order.” H.Rept. 107-60, 91. Then in the FY 2004 Budget Resolution (H.Con.Res. 95, 108th Congress), the Senate rein- stated a PAYGO point of order, but in name only. The conference report noted that the PAYGO require- ment would “apply on a post-budget resolution policy basis,”meaning that any tax cuts or entitlement increases brought to the Floor would only violate the point of order if they had not been contemplated in the Budget Resolution. H.Rept. 108-71, 122. This effectively threw the “pay-as-you-go” concept out the window, since Budget Resolutions could henceforth call for any amount of new tax cuts or entitlement increases without requiring any offsets. 31. The entitlement expansion was the enactment of Medicare Part D. This is not meant to suggest that the enactment of a Medicare prescription drug benefit was a bad idea. The point here is that with the expiration of PAYGO discipline, no effort was made to offset the enormous costs of the entitlement expansion. In fact, at the same time that entitlement spending was being dramatically increased, taxes were being cut and hundreds of billions dedicated to emergency war spending. 32. Office of Management and Budget, “Budget of the U.S. Government, FY 2008: Analytical Per- spectives” (Washington, D.C.: Government Printing Office, February 2007), 211. 33. Section 405 of H.Res. 6 added the PAYGO language to Clause 10 of House Rule XXI (110th Congress): “10. It shall not be in order to consider any bill, joint resolution, amendment, or conference report if the provisions of such measure affecting direct spending and revenues have the net effect of increas- ing the deficit or reducing the surplus for either the period comprising the current fiscal year and the five fiscal years beginning with the fiscal year that ends in the following calendar year or the period comprising the current fiscal year and the ten fiscal years beginning with the fiscal year that ends in the following calendar year. The effect of such measure on the deficit or surplus shall be determined on the basis of estimates made by the Committee on the Budget relative to—(a) the most recent baseline esti- mates supplied by the Congressional Budget Office consistent with section 257 of the Balanced Budget and Emergency Deficit Control Act of 1985 used in considering a concurrent resolution on the budget; or (b) after the beginning of a new calendar year and before consideration of a concurrent resolution on the budget, the most recent baseline estimates supplied by the Congressional Budget Office consis- tent with section 257 of the Balanced Budget and Emergency Deficit Control Act of 1985.” 34. Section 201 of S.Con.Res. 21 (110th Congress). 35. 31 USC 3101. 36. The Treasury Department handles almost all borrowing by the Federal government. In a few instances, agencies such as the Tennessee Valley Authority operate within their own borrowing limits. Bill Heniff Jr., “Legislative Procedures for Adjusting the Public Debt Limit: A Brief Overview,”RS21519 (Washington, D.C.: December 29, 2006), 1-2. 37. But in those rare fiscal years, 1998–2001, when the government ran a unified budget surplus, Debt Held by the Public declined (as surpluses were used to retire outstanding debt), while Gross Fed- eral Debt continued to increase to accommodate investment of the trust fund surpluses. The govern- ment’s surpluses during those four years reduced Debt Held by the Public by $448 billion. At the same time, Social Security and the other government trust funds increased their holdings by $853 billion. The combination ($853 billion minus $448 billion) raised Gross Federal Debt by $405 billion. Philip D. Winters, “The Debt Limit: The Ongoing Need for Increases,” RL31967 (Washington, D.C.: Congres- sional Research Service, March 21, 2006), summary page. 38. “Federal Debt,” Historical Tables, Section 7, Budget of the U.S. Government, FY 2008. See also “Federal Borrowing and Debt,”Analytical Perspectives, Budget of the U.S. Government, Fiscal Year 2008 (Washington, D.C.: Office of Management and Budget), 232. 39. “Federal Debt,”Historical Tables, 7.3. 02_4part.qxp 11/19/07 7:35 PM Page 47

BUDGET ENFORCEMENT 47

40. For additional examples, see Philip Winters, “Debt Limit Increases: Fact Sheet on Uses of the Debt Limit for Other Legislation,” 97-297E (Washington, D.C.: Congressional Research Service, Feb- ruary 29, 1997). 41. In the House, the so-called Gephardt Rule (House Rule XXVII) automatically generates a debt limit increase bill to have been passed by the House upon adoption of a Budget Resolution that calls for a debt limit increase. (Budget Resolutions include the “appropriate levels of debt subject to limit” in order to accommodate policies in the Budget Resolution.) While this avoids amendments to the debt ceiling bill in the House, it does not avoid amendments in the Senate. Another device that has been used to avoid considering a free-standing debt ceiling bill is inclusion of the debt ceiling increase in a Budget Reconciliation bill that, as previously explained, cannot be filibustered and is virtually immune to Floor amendments in the Senate. Of the total 85 debt limit measures enacted since 1940, 68 were enacted under regular legislative procedures, 13 pursuant to the Gephardt rule, and 4 as part of Reconciliation legislation. Heniff, “Legislative Procedures,”3. 02_4part.qxp 11/19/07 7:35 PM Page 48 02_5part.qxp 11/19/07 7:31 PM Page 49

CHAPTER 2-5

The Government as Banker: Federal Credit Reform

long with the Budget Enforcement Act, the 1990 “Budget Summit Agreement” gave birth A to another milestone in budget enforcement—the Federal Credit Reform Act of 1990 (FCRA)1—which dramatically changed the budget process for enacting new Federal credit programs. These budget reforms are significant, because direct loans and loan guarantees have, for many years, been critical components of Federal education, housing, agriculture, small business, disaster assistance, and trade programs. Prior to credit reform, all credit transactions were recorded in the fiscal year in which they occurred on a strictly cash basis. Direct loans were recorded as outlays in the year the loan was made, direct loan repayments were recorded as receipts in the year paid, loan guar- antee claim payments were recorded as outlays in the year disbursed, and any fees charged for direct loans or loan guarantees were recorded as receipts in the year received. However, this approach distorted the budgetary impact of creating or modifying credit programs. For example, because the Federal Government did not have to show any outlays for loan guarantees until lenders filed claims on defaulted loans, the granting of new loan guarantees appeared to have no cost when enacted, while direct loans—which were treated like grants in the year they were issued—appeared to be very expensive. This created a misleading bias in favor of loan guarantees over direct loans. Congress enacted FCRA to address these flaws. FCRA changed the budget rules for credit programs by requiring Congress to appropriate budget authority up front to cover projected delinquencies, defaults and interest rate subsidies over the life of credit programs. By requir- ing the up-front appropriation of budget authority to cover the projected future costs of credit programs, FCRA allows Congress to compare in an apples-to-apples way the budgetary costs of direct loans, loan guarantees, and more traditional grant programs. For example, in the President’s FY 2008 Budget, he requested that Congress authorize $34 billion in new direct loans. If Congress agrees with the President’s requests, FCRA will require that Congress appropriate for FY 2008, $1.4 billion to cover interest subsidies and estimated uncollectible principal and interest. In considering the President’s request, the Congress can compare the up-front costs of the proposed direct loans with other program options.

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On the loan guarantee side, the President’s Budget requests $290 billion in new loan guar- antees for FY 2008. If Congress agrees with the President’s requests, FCRA will require that Congress appropriate for FY 2008, $2.4 billion to cover projected liability for loan defaults.2 Prior to the enactment of FCRA, the authorization of these new loan guarantees in FY 2008 would have shown up as costing nothing, and in fact it might actually have been scored as bringing in revenue due to loan guarantee fees. The magnitude of the Federal government’s credit programs underscores the importance of FCRA’s budgetary controls. In FY 2006, the most recent year for which actual numbers are available, the Federal Government had $251 billion in total outstanding direct loans, with an estimated total future cost of $47 billion due to subsidy costs and uncollectible principal and interest. The largest direct loan programs are student loans and rural development, housing and utility loans. On the loan guarantee side, the Federal Government had $1.1 trillion in outstanding loan guarantees in FY 2006, with an estimated future cost of $66 billion attributable to projected liability for loan defaults. The largest loan guarantee programs are for Federal Housing Administration mortgage guarantees, veterans’ mortgage guarantees, and guaranteed student loans.3 The various program areas are reviewed in Part III of this book. Nearly two decades after enactment of FCRA, considerable debate remains among Administration and congressional budget estimators about the best methodologies for esti- mating the future costs of direct loans, loan guarantees and other credit programs.4 But importantly, that debate is now taking place, and policymakers are now comparing the effi- cacy and actual costs of direct loans, loan guarantees, and other program options in address- ing national needs.

Recommended Sources for Further Reading on Federal Credit Reform

• CRS: “Federal Credit Reform: Implementation of the Changed Budgetary Treatment of Direct Loans and Loan Guarantees,”RL30346, April 25, 2006; “Federal Credit Reform Act of 1990,”96-792 E, Sep- tember 11, 1997. •CBO:Estimating the Value of Subsidies for Federal Loans and Loan Guarantees, August 2004. •GAO:Credit Reform, GAO/AIMD-94-57, July 1994; see Appendix I for useful background material on credit reform.

Notes

1. FCRA became the new Title V of the Congressional Budget Act. 2. Office of Management and Budget, The Budget for Fiscal Year 2008, “Analytical Perspectives,” Table 7-5. 3. Office of Management and Budget, The Budget for Fiscal Year 2008, “Analytical Perspectives,” Table 7-1. 4. See, for example, Congressional Budget Office, A CBO Study: Estimating the Value of Subsidies for Federal Loans and Loan Guarantees, August 2004; and Congressional Budget Office, Assessing the Government’s Costs for Mortgage Insurance Provided by the Federal Housing Administration, July 19, 2006 (http://www.cbo.gov/ftpdocs/74xx/doc7412/07-17-FHA.pdf 02_6part.qxp 11/19/07 7:32 PM Page 51

CHAPTER 2-6

The Federal Unfunded Mandates Reform Act

Many federal . . . initiatives, in areas ranging from homeland security to health care and environmental protection, involve shared responsibilities....To aid in the implementa- tion of these programs and initiatives, and to share their costs, federal statutes and reg- ulations often require nonfederal parties to expend their resources in support of… national goals. Determining the appropriate balance of fiscal responsibility between the federal government, state, local and tribal governments, and the private sector ...is a constant challenge. —Government Accountability Office, 20051

he Unfunded Mandates Reform Act2 (UMRA) was enacted in 1995 in response to con- Tcerns that the Federal Government was frequently enacting legislation that imposed new and costly duties or responsibilities on States and localities without providing funding to ful- fill those responsibilities. Similar concerns were raised about new mandates imposed on the private sector. The legislation was enacted as part of the House Republicans’ Contract with America and was supported by the Clinton Administration. At the time of its enactment, supporters of the legislation viewed it as part of a “new federalism” agenda designed to free up the resources of state and local governments for locally determined priorities. Opponents viewed it as a poten- tial obstacle to national mandates on health, safety, and environmental concerns. In retro- spect, UMRA has had less impact than supporters hoped or opponents feared. UMRA contains requirements that new unfunded mandates be identified in congressional committee reports accompanying new authorizing legislation.3 UMRA also establishes proce- dures to curb enactment of new unfunded mandates, although it does not preclude their enact- ment or implementation as discussed below. UMRA addresses two types of mandates. A Federal Intergovernmental Mandate refers to provisions in Federal authorizing legislation that impose enforceable duties on State or local governments, make existing duties more stringent, reduce funds available to cover the

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costs of existing duties, or preempt state or local revenue-raising authority.4 UMRA requires congressional committees and CBO to prepare detailed analyses of intergovernmental man- dates in legislation that total up to more than $50 million per year, adjusted for inflation ($66 million for FY 2007). According to CBO, since UMRA’s enactment in 1995, seven intergovernmental mandates, with costs above the threshold, have become law including: an increase in the minimum wage, a reduction in Federal funding for the food stamp program, a preemption of state taxes on premiums for prescription drugs, a temporary preemption of states’ authority to tax Internet services and transactions, a requirement that state and local governments meet certain stan- dards for drivers’ licenses, and the elimination of Federal matching payments for child sup- port enforcement.5 Private Sector Mandates refer to similar types of provisions applied to private sector enti- ties. UMRA requires congressional committees and CBO to prepare detailed analyses of pri- vate sector mandates in legislation that total up to more than $100 million per year, adjusted for inflation ($131 million for FY 2007). According to CBO, Congress has enacted 40 private sector mandates exceeding the statu- tory threshold since 1995 including an increase in the minimum wage, 12 revenue-raising provisions, 6 mandates that impact health insurance, and 9 that affect specific industries including mining, telecommunications, food processing, and chemical facilities.6 UMRA excludes a number of key areas from the informational and procedural require- ments of the Act. In particular, Federal requirements designed to protect constitutional rights and prohibit discrimination are not subject to review under the Act. Legislation pertaining to national security and treaty implementation are also excluded. In addition, duties that are imposed as a condition of Federal assistance or that arise from participation in a voluntary Federal program are not “mandates” under UMRA. Identifying New Mandates. The central function of UMRA is to make certain that poli- cymakers and affected parties have adequate information about requirements in proposed legislation that would establish new Federal mandates. UMRA seeks to make new mandates more transparent by requiring that congressional authorizing committees include in their reports accompanying legislation a statement identifying all intergovernmental or private sec- tor mandates and a CBO estimate of the mandates’ costs to state and local governments and/or

Excerpt from CBO Cost Estimate on H.R. 5815, Department of Homeland Security Authorization Act for FY 2007 October 17, 2006

ESTIMATED IMPACT ON STATE, LOCAL, AND TRIBAL GOVERNMENTS H.R. 5814 contains intergovernmental mandates as defined in UMRA because it would require cer- tain public transportation agencies to conduct vulnerability assessments and to create and imple- ment security plans. While CBO cannot estimate the aggregate costs of those mandates, based on information from industry and government sources, we estimate that the costs to state, local, and 02_6part.qxp 11/19/07 7:32 PM Page 53

THE FEDERAL UNFUNDED MANDATES REFORM ACT 53

tribal governments would exceed the threshold ($64 million in 2006, adjusted annually for infla- tion) in at least one of the first five years after enactment. The bill would authorize appropriations of funds to cover those costs.

Mandates on Public Transit Entities H.R. 5814 would require certain public transportation agencies to conduct vulnerability

Assessments…. …CBO estimates that the aggregate costs to transit and ferry systems likely would exceed the threshold established in UMRA ($64 million in 2006, adjusted annually for inflation) in at least one of the first five years after enactment. The bill would authorize the appropriation of $400 million in fiscal year 2007 to cover these costs.

Other Impacts Other provisions of the bill would make several changes to existing grant programs for state, local, and tribal governments…. On balance, state, local, and tribal governments would benefit from provisions that require DHS to create, with input from local first responders and trade rep- resentatives, essential capabilities and voluntary standards for equipment and training.

ESTIMATED IMPACT ON THE PRIVATE SECTOR H.R. 5814 would impose several private-sector mandates, as defined in UMRA, on rail carriers, transportation systems, and certain individuals. CBO estimates that the direct cost of comply- ing with most of those mandates would be small and fall well below the annual threshold for pri- vate-sector mandates established by UMRA ($128 million in 2006, adjusted annually for inflation). However, because the cost of one of the mandates would depend on regulations that have not yet been issued, CBO cannot determine whether the aggregate cost of all the private- sector mandates in the bill would exceed the annual threshold.

Vulnerability Assessments and Security Plans Section 901 would require the Secretary of the Department of Homeland Security to establish by regulation standards, protocols, and procedures for vulnerability assessments and security plans for rail or public transportation systems….

Security Screening Inspection Claims Section 914 would impose a new private-sector mandate on certain individuals filing claims for civil damages as a result of a security screening inspection….

Recurrent Aircraft Training Section 916 would impose a new mandate on individuals applying for recurrent training to oper- ate aircraft having maximum take-off weight of more than 12,500 pounds by requiring them to pay a fee for threat assessment as determined by DHS….

Prohibited Items on Passenger Aircraft…

For a complete text of this CBO report, see http://www.cbo.gov/ftpdocs/76xx/doc7674/hr5814b.pdf. 02_6part.qxp 11/19/07 7:32 PM Page 54

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the private sector. The CBO estimate must be a detailed, year-by-year analysis for any man- dates exceeding the statutory threshold amounts. UMRA enforces this informational requirement by allowing any Member of Congress to raise a procedural objection against legislation that fails to include the required unfunded mandates statement in its committee report. However, the point of order can be waived by a simple majority (50% plus one). The text box above is an example of an UMRA report pro- vided to Congress as part of a CBO cost estimate. “Curbing” New Intergovernmental Mandates. UMRA seeks “to curb the practice of imposing Federal mandates”7 by allowing any Representative or Senator to raise a procedural objection (point of order) against any legislation that includes intergovernmental mandates costing more than the threshold amount ($66 million per year for FY 2007)—unless the leg- islation either “authorizes appropriations” or provides funding to cover the costs. Typically, authorizing committees insert provisions authorizing appropriations, since it has become increasingly rare for authorizing committees to create new mandatory spending programs that circumvent the appropriations process. However, an “authorization of appropriations” does not actually provide funding. An authorization is simply a “request” or “recommendation” by the authorizing committee that the appropriations committee provide funding for a particular program.8 Therefore, UMRA attempts to put teeth in the funding “requirement” by providing that an authorization is ade- quate only if the legislation requires the administering agency to monitor whether the man- date in the legislation is actually funded in each year. The authorizing legislation must also require that, in the event funds are not actually appropriated, the administering agency must submit legislation to Congress to reduce the cost of, or eliminate the mandate. This is the Achilles’ heel of the enforcement mechanism, because a requirement that the Administration request funding in no way assures that Federal funding will be provided. (In addition, this requirement can be waived by a simple majority in the Congress.) In a nutshell, while UMRA successfully focuses attention on whether proposed legislation includes new Federal mandates, it does not actually preclude unfunded mandates. Regulations. UMRA also requires Federal agencies to assess the financial impact of pro- posed rules, assess costs and benefits where the proposed regulations exceed a threshold,9 determine whether federal resources are available to cover the costs, consider the input of those affected, and select the least costly or burdensome regulatory option. An example of a regulatory mandate imposing costs is the Environmental Protection Agency’s regulations in 2001 setting new standards for the maximum level of arsenic in drinking water that affected both publicly-owned and privately-owned water systems.10 In a review of UMRA’s impact on Federal rulemaking, the GAO found that “UMRA appeared to have had little effect on agen- cies’ rulemaking and most significant rules promulgated were not subject to (UMRA) require- ments.”11 The reason for this is likely due to the weak judicial review provision, under which a court can order agencies to do the required analysis, but cannot invalidate a rule.12 Assessment of UMRA. Overall, UMRA has undeniably made progress in focusing con- gressional and public attention on proposed legislation that would establish new man- dates.13 Less conclusive is whether UMRA has had a significant deterrent effect on enactment of new unfunded mandates. One measure of the law’s impact may be that, in its annual review of unfunded mandates, the Congressional Budget Office noted that “few bills or proposals with mandates exceeding the (statutory) thresholds ultimately became law” in 2006.14 02_6part.qxp 11/19/07 7:32 PM Page 55

THE FEDERAL UNFUNDED MANDATES REFORM ACT 55

Whether CBO’s findings reflect an actual deterrent effect, or UMRA’s narrow definition of unfunded mandate, is open to debate. In its 2005 report on UMRA, GAO found that parties from many sectors shared concerns that UMRA’s coverage is “too narrow”15 due to the amount of legislation excluded from the statute’s reach. GAO noted, however, that public interest advocates would strongly oppose expanding the reach of UMRA, because it could have a weakening effect on the ability of the Federal government to mandate measures to pro- tect public health, safety, and welfare.16

Recommended Sources for More Information on Unfunded Mandates

• GAO: “Unfunded Mandates: Views Vary about Reform Act’s Strengths, Weaknesses, and Options for Improvement,”March 2005, http://www.gao.gov/new.items/d05454.pdf. • CBO: A Review of CBO’s Activities in 2006 under the Unfunded Mandates Reform Act, April 2007, http://www.cbo.gov/ftpdocs/79xx/doc7982/04-03-UMRA.pdf. • CRS: “Unfunded Mandates Reform Act Summarized,”RS20058, January 25, 2005. • National Conference of State Legislatures Mandate Monitor: http://www.ncls.org/standcommscbudg/ manmon.htm. • U.S. Advisory Commission on Intergovernmental Relations draft report on mandates: http:// www.library.unt.edu/gpo/acir/mandates.html. (A final report was never completed.)

Notes

1. U.S. Government Accountability Office, “Unfunded Mandates: Views Vary about Reform Act’s Strengths, Weaknesses, and Options for Improvement” (Washington, D.C.: March 2006), 1. 2. P.L. 104-4, 109 Stat. 48 et seq. 3. For a full explanation of the respective roles of authorizing and appropriations legislation, see chapter 2-2. 4. Duties that are imposed as a condition of federal assistance or that are associated with partici- pation in voluntary federal programs are generally not regarded as mandates. 5. Congressional Budget Office, “A Review of CBO’s Activities in 2006 under the Unfunded Man- dates Reform Act,”8–9. 6. Congressional Budget Office, “A Review of CBO’s Activities in 2006,”9. 7. Preamble to the Unfunded Mandates Reform Act of 1995, P.L. 104-4, March 22, 1995. 8. For a complete discussion of authorizations versus appropriations, see chapter 2-2. 9. $131 million for FY 2007, adjusted annually for inflation. 10. U.S. Government Accountability Office, “Unfunded Mandates,”1. 11. See U.S. General Accounting Office, “Unfunded Mandates: Reform Act Has Had Little Effect on Agencies’ Rulemaking Actions,”GAO/GGD-98-30 (Washington, D.C.: , February 4, 1998). 12. A 2005 GAO-sponsored conference on UMRA found no interested parties that viewed the judi- cial review provision to be meaningful or effective. U.S. Government Accountability Office, “Unfunded Mandates,”5. The same GAO report, on page 16, noted that “if a court finds that an agency has not pre- pared a written statement or developed a plan for one of its rules, the court can order the agency to do the analysis and include it in the regulatory docket for that rule but the court may not block or invali- date the rule.” 13. See U.S. Government Accountability Office, “Unfunded Mandates,”6, which found that “all the sectors provided ...generally positive, comments about the . . . usefulness of UMRA information in policy debates.” 02_6part.qxp 11/19/07 7:32 PM Page 56

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14. Congressional Budget Office, “A Review of CBO’s Activities in 2006,”2. According to CBO, “The Congress and the President enacted 321 public laws in 2006, 30 of which contained one or more inter- governmental mandates as defined by UMRA, and 39 of which contained one or more private-sector mandates. Of the public laws that included intergovernmental mandates, two contained mandates with costs exceeding the statutory threshold. By comparison, over the 10-year period leading up to 2006, five intergovernmental mandates with costs that exceeded the threshold were enacted. Of the public laws with private-sector mandates, eight contained mandates with costs exceeding the statutory threshold. By comparison, of the 79 public laws with private-sector mandates enacted from 2002 through 2005, 12 laws contained mandates with costs above the threshold.” 15. U.S. Government Accountability Office, “Unfunded Mandates,”10. 16. U.S. Government Accountability Office, “Unfunded Mandates,” 13. 02_7part.qxp 11/19/07 7:36 PM Page 57

CHAPTER 2-7

Performance-Based Budgeting

High-performing organizations consistently strive to ensure that their organizational missions and goals drive day-to-day activities. —U.S. General Accounting Office, July 1999

ince World War II, various initiatives have been undertaken to implement “performance- Sbased budgeting” (sometimes called results-oriented budgeting). The concept of perfor- mance budgeting is to “promote greater efficiency, effectiveness, and accountability in federal spending” by linking budget levels to results.1 The most recent iterations of performance- based budgeting are the Government Performance and Results Act (GPRA)2 and the Program Assessment Rating Tool (PART). Various attempts to establish performance-based budgeting occurred in the decades prior to GPRA and PART:

1949: The Commission on the Organization of the Executive Branch. The Commission made a number of recommendations relating to the Executive branch, including the first for- mal recommendation that performance budgeting be incorporated into the Federal Budget process. 1960s: Planning-Programming-Budgeting-System (PPBS). PPBS was an attempt at per- formance budgeting originated in the Department of Defense under Secretary Robert McNa- mara, who brought his skills in modern systems analysis and cost-benefit analysis from the Ford Motor Company to the Federal Government. President Lyndon Johnson eventually man- dated the use of PPBS across all government departments. However, PPBS was short-lived. The Nixon Administration terminated PPBS in 1971. 1973: Management by Objectives. The Nixon Administration’s replacement for PPBS was Management by Objectives, which was primarily focused on holding agency managers accountable for achieving outcomes set forth in the respective agencies’ budget requests. 1977: Zero-Based Budgeting. President Carter’s Zero-Based Budgeting, initiated by Office of Management and Budget (OMB) Director Bert Lance, required that a series of packages

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for different funding levels be prepared, with the overall intent being to directly link expected program results with a level of spending.3

According to the GAO, there is consensus that these early efforts “failed to significantly shift the focus of the Federal Budget process from its long-standing concentration on the items of government spending to the results of its programs.”4

Government Performance and Results Act (GPRA) Contrary to popular belief, GPRA was not invented to Get People Really Angry! — Anonymous federal manager in a memorandum to staff

GPRA was enacted into law by Congress in 1993. (By contrast, the previous performance- based initiatives were initiated by Executive Order, rather than having the force of law.) The essential concept of GPRA was to “shift the focus of government decision making and accountability away from a preoccupation with the activities that are undertaken—such as grants dispensed or inspections made —to a focus on the results of those activities, such as real gains in employability, safety, responsiveness, or program quality.”5 GPRA’s approach to achieving this shift in decision making was to require that agencies set goals, devise performance measures, and assess their results on a regular basis. More specifi- cally, GPRA established three types of ongoing requirements for most Federal agencies:6

• strategic plans (covering five years and to be revised at least every three years),7 • annual performance plans,8 and • annual program performance reports (covering the previous three fiscal years).9

Strategic plans, submitted by Federal agencies to the OMB and the Congress beginning in the fall of 1997, were to contain a comprehensive mission statement, general goals and objectives, and a description of how they are to be achieved.10 The agency strategic plans were to be the starting point for agencies to set annual goals for programs and to measure the per- formance of programs.11 A key element of the new process was to require mandatory con- sultations between agencies and Congress on program performance. Annual performance plans, beginning with plans for FY 1999,12 were to provide the direct linkage between the strategic goals and what managers and employees do day-to-day.13 More specifically, the plans were to provide a quantifiable basis for comparing actual program results with the established performance goals.14 Annual program performance reports, at the end of each fiscal year, were to complete the picture by comparing “actual program performance” with the goals set forth in the per- formance plan.15 Where a performance goal has not been met, the performance reports were to explain why not and set forth a plan for achieving the stated goal or explain why the goal is unrealistic. While the concept of GPRA is sound, overcoming bureaucratic inertia can be difficult. In 1998, congressional leadership asked the GAO to evaluate the first round of performance plans. The GAO found that while “all of the plans showed how agencies’ missions ...related to their performance goals,....most of the plans ...contained major weaknesses that undermined 02_7part.qxp 11/19/07 7:36 PM Page 59

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their usefulness....[T]hey did not consistently provide clear pictures of agencies’ intended performance” and lacked credible criteria for providing accurate performance data.”16 In a follow-up report prepared in 1999, the GAO found “moderate improvements” over the prior year’s performance plans but noted continuing weaknesses in attention to manage- ment challenges, presentation of how personnel and other resources are used to achieve results, and credibility of data.17 By the end of the Clinton Administration in 2000, CRS noted growing congressional involvement with GPRA. CRS noted that 74 laws enacted in the 106th Congress (1999–2000) included GPRA-related provisions.18 The beginning of the Bush Administration saw an increasing emphasis on performance- based budgeting but a shift away from GPRA. In August 2001, the President’s Management Agenda was announced, emphasizing “budget and performance integration” as one of five government-wide initiatives.19 This was followed up in February 2002 with inclusion in the President’s Budget of a new effort to measure performance of over 100 programs, separate and apart from the GPRA process. Building on that effort, in the summer of 2002 OMB announced a new “Program Assess- ment Rating Tool” (PART) to be used by OMB and agencies to evaluate over 200 programs during the course of preparing the President’s FY 2004 budget. OMB explained that PART was intended to “inform and improve agency GPRA plans and reports, and establish a mean- ingful, systematic link between GPRA and the budget process.”20

Program Assessment Rating Tool (PART) The Bush Administration’s PART is a set of questionnaires to be completed annually by Fed- eral managers to assess the effectiveness of Federal programs. The questionnaires include 25 questions divided into four categories (see table 2-7.1).

TABLE 2-7.1: Overview of PART Questions

SECTION DESCRIPTION WEIGHT I. Program Purpose To assess whether the purpose of is clear 20% and Design and the program design makes sense.

II. Strategic Planning To assess whether the agency sets 10% valid programmatic annual goals and long-term goals.

III. Program Management To rate agency management of the 20% program, including financial oversight and program improvement efforts.

IV. Program Results To rate program performance on goals 50% and Accountability reviewed in the strategic planning section and through other evaluations. 02_7part.qxp 11/19/07 7:36 PM Page 60

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A complete list of PART questions is set forth in appendix P.Based on responses to these questions, and the prescribed weighting of the various categories of questions, OMB gives each program one of five overall ratings: 1, effective; 2, moderately effective; 3, adequate; 4, ineffective; or 5, results not demonstrated.21 While PART has been the subject of considerable criticism, the GAO has found that “PART has helped to structure and discipline OMB’s use of performance information for its internal program analysis and budget review, made the use of this information more transparent, and stimulated agency interest in budget and performance integration....Sev- eral agency officials also told us that the PART was a catalyst of bringing agency budget, planning, and program staff together since none could fully respond to the PART ques- tionnaire alone.”22 One of the ironies of the PART process is that it appears to be biased against block grants—despite the fact that block granting is often favored by conservative public policy ana- lysts. One analysis notes that under PART,“programs that operate through grants, whether competitive grants or block grants, are rated lower on average than all other programs. When OMB rated block/formula grant programs . . . in FY 2005,...it found no block/formula grant programs were ‘effective’ . . . [and] found 43 percent of block/formula grant programs to be ineffective while determining only 5 percent of programs overall were ‘ineffective.’”23

GPRA versus PART The Bush Administration made explicit its preference for PART as the primary mechanism for performance-based budgeting: “[W]hile well-intentioned,...[GPRA] did not meet its objectives. Through the President’s Budget and Performance Integration initiative, augmented by the PART, the Administration will strive to implement the objectives of GPRA.”24 In 2004, OMB issued guidance formally instructing agencies to submit a “performance budget” for FY 2005 that would replace the annual GPRA performance plan.25 There has been considerable debate, however, about the wisdom of replacing GPRA with PART. For example, GPRA requires an agency, in developing its strategic plan, to “solicit and consider the views and suggestions of those entities potentially affected by or interested in such a plan.”26 PART does not require the involvement of impacted stakeholders. In addition, GPRA requires mandatory consultations with Congress; PART does not. Others have questioned the objectivity, openness, and accuracy of PART’s assessment methodology, suggesting that the PART process ignores congressional intent, conflicts with GPRA and inappropriately preoccupies agency planners and resources.27 The GAO has con- cluded that “by using the PART process to review and sometimes replace GPRA goals and measures, OMB is substituting its judgment for a wide range of stakeholder interests.... Although PART can stimulate discussion on program-specific measurement issues, it can- not substitute for GPRA’s focus on thematic goals and department-and-governmentwide . . . comparisons.”28 Moreover, the GAO continues to favor GPRA as an effective framework for improving information sharing and cooperation among Federal agencies. The GAO report also reiter- ated previous recommendations that (1) OMB develop a governmentwide performance plan (as required by GPRA but never implemented); and (2) Congress consider amending GPRA to require a governmentwide strategic plan.29 02_7part.qxp 11/19/07 7:36 PM Page 61

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Cautionary Notes about Performance-Based Budgeting The GAO correctly points out that “pursuing a closer alignment between performance plan- ning, budgeting, and financial reporting is essential in supporting the transition to a more results-oriented and accountable federal government.”30 GPRA was a useful management tool before taking a back seat to PART, and its full potential has yet to be tapped. At the same time, it is also important to understand the limitations of GPRA and other performance-based bud- geting tools such as PART. Budgeting, ultimately, is about the allocation of limited national resources among competing priorities.31 GPRA, PART, and other performance measures can tell us—within limits—whether an existing program is fulfilling its objectives and how programs can be restructured to do a bet- ter job of achieving objectives, but they cannot tell us what our budgetary priorities should be. For example, negative performance assessments of FEMA’s handling of Hurricane Kat- rina can tell us that the management systems at FEMA and DHS require substantial restruc- turing and that resources can be more effectively used and better outcomes achieved. However, those performance assessments do not necessarily lead to budgetary conclusions. The appro- priate response to FEMA’s poor performance in the Katrina catastrophe could lead policy- makers to seek a restructuring at the same budgetary level, a restructuring with a smaller budget, or a restructuring with a larger budget. The poor outcomes alone do not tell us the appropriate level of funding for emergency management, nor do they set the relative prior- ity of such funding compared to other high priorities, such as homeland security. Moreover, even the best performance measures have limits, for a variety of reasons: (1) some outcomes are inherently difficult to measure, like foreign aid programs and research and devel- opment programs; (2) there is frequently a time lag between programmatic actions and outcomes; and (3) it may be difficult to distinguish or separate out the outcomes of a particular federal effort from various nonfederal influences, such as state, county, local, and nonprofit activities.32 In short, performance-based assessments should be used to maintain an ongoing com- mitment to achieve the best possible results or “outcomes” from the programs Congress has chosen to fund, but they should never be used as a principal basis for setting budgetary lev- els. The allocation of resources among competing priorities are decisions that belong to elected policymakers in the Congress.

Notes

1. Virginia McMurtry, “Performance Management and Budgeting in the Federal Government: Brief History and Recent Developments,”RL32164 (Washington, D.C.: Congressional Research Service, March 16, 2005), summary page. 2. Government Performance and Results Act of 1993, P.L. 103-62, August 3, 1993. 3. McMurtry, “Performance Management,”1–2. 4. U.S. General Accounting Office, “Performance Budgeting: Observations on the Use of OMB’s Program Assessment Rating Tool for the FY 2004 Budget,” GAO-04-174 (Washington, D.C.: January 2004), 1. 5. U.S. Government Accountability Office, “Reports on the Government Performance and Results Act,”http://www.gao.gov/new.items/gpra/gpra.htm. 6. Some agencies were explicitly exempted in the Act: the CIA, GAO, Panama Canal Commission, and Postal Rate Commission (the USPS itself was exempted from the standard requirements of the 02_7part.qxp 11/19/07 7:36 PM Page 62

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GPRA and given separate, but similar, requirements through its own section in the Act). Also, any agency with annual outlays less than $20 million and the OMB itself were exempted. 7. GPRA, P.L. 103-62, §3 (new sec. 306). 8. GPRA, P.L. 103-62, §4 (new sec. 1115). 9. GPRA, P.L. 103-62, §4 (new sec. 1116). 10. GPRA, P.L. 103-62, §3 (new sec. 306) 11. U.S. General Accounting Office, “Executive Guide: Effectively Implementing the Government Performance and Results Act” (Washington, D.C.: GAO, June 1996), appendix 1. 12. Note that this is timing is aligned with the schedule for preparation of the President’s Budget. As noted in chapter 2-1, the Executive Branch prepared the President’s Budget request for FY 1999 in the fall of 1997; the Budget was then rolled out in February 1998; the congressional budget process oper- ated during the spring, summer and early fall of 1998, and FY 1999 began on October 1, 1998. 13. GAO, “Executive Guide,”appendix 1. 14. GPRA, P.L. 103-62, §4 (new sec. 1115). 15. GPRA, P.L. 103-62, §4 (new sec. 1116). 16. U.S. General Accounting Office, “Managing for Results: An Agenda to Improve the Usefulness of Agencies’ Annual Performance Plans,” GAO/GGD/AIMD-98-228 (Washington, D.C.: Author, Sep- tember 1998). 17. U.S. General Accounting Office, “Managing for Results: Opportunities for Continued Improve- ments in Agencies’ Performance Plans,”GAO/GGD/AIMD-99-215 (Washington, D.C.: Author, July 1999). 18. Virginia McMurtry, “Government Performance and Results Act: Overview of Associated Provi- sions in the 106th Congress,”RL31678 (Washington, D.C.: Congressional Research Service, December 20, 2002). 19. Genevieve Knezo, “Government Performance and Results Act: Brief History and Implementa- tion Activities,”RS20257 (Washington, D.C.: Congressional Research Service, June 7, 2004), 5. 20. See OMB Memorandum M-02-10, July 16, 2002, as cited in CRS, “Government Performance and Results Act: Brief History and Implementation Activities,”6. 21. U.S. General Accounting Office, “Performance Budgeting: Observations on the Use of OMB’s Program Assessment Rating Tool for the FY 2004 Budget,” GAO-04-174 (Washington, D.C.: Author, January 2004), 10–11. 22. U.S. General Accounting Office, “Performance Budgeting,”4. 23. See Testimony of Adam Hughes, Director of Federal Fiscal Policy at OMB Watch, before the Sen- ate Homeland Security and Governmental Affairs Subcommittee on Federal Financial Management, Government Information and International Security, June 13, 2006, http://hsgac.senate.gov/_files/ 061306Hughes.pdf, 6. 24. U.S. Office of Management and Budget, Budget of the United States Government, FY 2004, Per- formance and Management Assessments (Washington, D.C.: February 2003), 9. 25. U.S. General Accounting Office, “Performance Budgeting,”7. 26. 5 U.S.C. § 306 27. See Testimony of Adam Hughes. 28. U.S. General Accounting Office, “Performance Budgeting,”summary page. 29. U.S. Government Accountability Office, “Results-Oriented Government: Practices That Can Help Enhance and Sustain Collaboration among Federal Agencies,” GAO-06-15 (Washington, D.C.: Octo- ber 2005), 28-29. 30. U.S. General Accounting Office, “Managing for Results: Agency Progress in Linking Performance Plans with Budgets and Financial Statements,”GAO-02-236 (Washington, D.C.: January 2002), 1. 31. McMurtry, “Performance Management,”summary page. 32. See Clinton Brass, “The Bush Administration’s Program Assessment Rating Tool (PART),” RL32663 (Washington, D.C.: Congressional Research Service, November 5, 2004). 02_8part.qxp 11/20/07 10:22 AM Page 63

CHAPTER 2-8

Budget Process Reform Proposals

t has become an axiom of political life in Washington that whenever budget deficits get seri- Iously out of control, “budget process reform” proposals proliferate. Administration offi- cials and Members of Congress look to procedural mechanisms to get deficits under control. But as my friend Sid Brown, the first Chief of Budget Review at the Senate Budget Commit- tee, used to say, no procedural reform can substitute for the political will to make hard choices. To be fair, certain budget process reforms have made a difference—the case in point being the Budget Enforcement Act of 1990 (BEA). As explained earlier, the BEA’s spending caps and pay-as-you-go (PAYGO) requirements were an important factor in reaching a surplus in the late 1990s. Nevertheless, budget process reform proposals are often political diversions from the real work of setting national priorities, assessing program results, and crafting responsi- ble budgets. Ultimately, the policy decisions reflected in the deficit reduction agreements of 1990, 1993, and 1997 were principally responsible for driving deficits down.

Balanced Budget Constitutional Amendment The clearest example of a budget process reform that is more political theater than substance is the Balanced Budget Constitutional Amendment (usually referred to as “Balanced Budget Amendment,” or BBA). Congressional interest in a constitutional amendment to require a balanced Federal Budget emerged in the early 1980s, when deficits began to soar. In the ensu- ing years, one or both houses of Congress voted on various forms of the BBA five times: 1982, 1986, 1992, 1995, and 1997.1 The BBA nearly passed Congress in 1995, achieving the required two-thirds support in the House, but it fell two votes short of the required two-thirds sup- port in the Senate.2 (Article V of the U.S. Constitution requires a two-thirds3 vote of the House and Senate, and ratification by three-fourths of the States to amend the Constitution.) In the 1980s, the country also came perilously close to a Constitutional Convention (the first since 1787), when nearly two-thirds (32 of the required 34) State legislatures passed res- olutions calling for a Constitutional Convention to consider a Balanced Budget Amendment.4 (One of my first duties as Staff Attorney at the Senate Budget Committee, fresh out of law school, was to track the actions of State legislatures as they considered resolutions calling for

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a Constitutional Convention. Fortunately, we never reached the two-thirds threshold that would have compelled the convening of a Convention, since this could have opened up a Pan- dora’s box of additional constitutional amendments. The Balanced Budget Amendments considered by Congress varied in their respective details, but generally all included the following common elements:

• Directing the President to submit a balanced budget to Congress; • Prohibiting total outlays from exceeding total revenues for a fiscal year unless three-fifths of the House and Senate vote to waive the requirement; and • Waiving the balanced budget requirement in the event of a declaration of war

Various other provisions of BBA proposals would have required a three-fifths vote to increase the debt ceiling, roll call votes on tax increases, or would have extended the declaration of war waiver to “imminent and serious” military threats. Proponents have, for years, argued that Congress and the President need the authority of a constitutional balanced budget requirement to force Congress and the President to be fiscally responsible. However, the four budget surpluses achieved between FY 1998 and FY 2001 proved that a constitutional amendment is unnecessary. The surpluses were achieved because Congress and the President passed major deficit reduction legislation in 1990, 1993, and 1997 (see Part VI) and enacted the ongoing fiscal restraints of the Budget Enforcement Act of 1990. In addition to being unnecessary, the BBA could do serious harm for several reasons:

1. The BBA is bad economic policy. It makes no allowance for the reality that government spending goes up and tax revenues go down during a recession. The difficulty of getting a three-fifths vote in both chambers to secure a balanced budget waiver could force spend- ing cuts and tax increases during a recession which, most economists agree, would deepen the recession. 2. The BBA constrains public policy. The budgetary straitjacket would limit the Federal government’s ability to respond to natural disasters, international crises, and long-term defense needs.5 In addition, it would prohibit the Federal government from borrowing to finance investments with a long-term pay-off—a practice available to every State and local government.6 3. The BBA would damage the Federal Government’s separation of powers. It would involve unelected Federal judges in spending and tax policy, and it could be construed as giving the President constitutional authority to impound appropriations—a dangerous erosion of Congress’ constitutional authority over Federal spending and tax policy. 4. The BBA would force midyear draconian cuts in essential Federal services. For exam- ple, if early projections of a balanced budget are replaced by midyear estimates of a $100 billion deficit, the consequences could be serious. Since entitlement benefits must, by law, be paid, the burden of cutting $60 billion in spending—halfway through the year—would fall disproportionately on discretionary spending, most likely nondefense discretionary spending. The result could be drastic cuts, or even shutdowns, of vital programs. 5. Versions of the BBA that require a three-fifths vote to increase the debt ceiling would allow a minority of either chamber to hold the Federal Treasury—and America’s cred- 02_8part.qxp 11/20/07 10:22 AM Page 65

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itworthiness—hostage whenever the nation’s finances require the issuance of additional debt. 6. Allowing Congress to waive the balanced budget requirement (by a three-fifths vote), the BBA would diminish the public’s respect for the U.S. Constitution. Consider the sce- nario of press reports that Congress is yet again “waiving” the Constitution’s balanced budget requirement. There are no other examples where Congress votes to waive a con- stitutional requirement.

Unfortunately, the soaring deficits of the current decade have yielded renewed calls for a Balanced Budget Constitutional Amendment. Already, as of October 2007, six mea- sures have been introduced calling for a Balanced Budget Amendment.7 Hopefully, the Congress will not turn to this phony and dangerous meddling with the U.S. Constitution to create the illusion of having “taken action” to restore fiscal responsibility. Real fiscal responsibility requires serious, bipartisan reforms to our nation’s spending programs and tax laws.

Tax Limitation Constitutional Amendment Another budget reform proposal involving an amendment to the Constitution is commonly called the “Tax Limitation Amendment” (TLA), which would impose a supermajority require- ment for passage of tax increases. The House of Representatives considered Tax Limitation Amendments each year from 1996 to 2002. Tax limitations have been proposed in a variety of forms. Many would have required a two-thirds supermajority in the House and Senate for passage of any tax legislation increasing revenues by more than a “de minimus” (very small) amount. Some would have required a supermajority to increase revenues above a set percentage of the economy (usually measured as Gross Domestic Product, or GDP). Others would limit tax increases to growth in “national income.”8 The tax limitation proposals are premised on the view that the Federal government’s size as a percentage of the economy is too large (although current revenue levels remain close to the 40-year average of 18.2% of GDP9) or that deficit reduction should be achieved exclu- sively through spending cuts. In each instance that Congress has voted on a version of the TLA, the proposal failed to achieve the two-thirds majority required for passage of a constitutional amendment. The clos- est the Amendment came to passage was in 1996 when it received 243 votes, 47 short of the two-thirds required for passage of a constitutional amendment. The various versions of the Tax Limitation Amendment raise a considerable number of concerns:

• The TLA would place future Congresses in a constitutional straitjacket when consider- ing fiscal policy options. • Under the TLA, “tax loopholes” creating special interest tax cuts could be enacted by a simple majority, but a two-thirds supermajority would be required to close the loopholes. • A minority of legislators in either chamber could block revenue-raising measures needed to prepare for potential military conflicts or to respond to other national emergencies. 02_8part.qxp 11/20/07 10:22 AM Page 66

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• Courts could be drawn into policy and political disputes better resolved by the elected branches of government—for example, determining whether a tax increase is “de min- imus,”or distinguishing between a “fee” and a “tax.”Alternatively, if judicial enforcement is precluded under the terms of the TLA, those who would seek to enforce the TLA would be left without a remedy, and the public’s confidence in the Constitution would be diminished.10

Earmark Reform Well, we cuss the lawmakers. But I notice we’re always perfectly willin’ to share in any of the sums of money that they might distribute.—Will Rogers, 193511

In general, a provision in an appropriations bill may be described as an earmark when Con- gress directs a portion of a lump-sum appropriation to a particular project, location, or institution—rather than deferring to Executive branch agencies on how and where the money will be spent.12 (To be fair, some executive branch funding decisions can also be described as political earmarks.13) Earmarks are not well understood because they usually do not appear in the legislative text of appropriations bills. Rather, most earmarks appear in “report language” accompany- ing an appropriations bill. There are two types of report language: • Committee Reports explain the reasons for and costs of legislation voted out of commit- tee; and • Joint Explanatory Statements of Managers accompany compromise legislation emerging from House-Senate conference committees. A recent Congressional Research Service review of the FY 2006 appropriations process calculated that more than 95% of all earmarks that year appeared in report language. A classic example of legislation with numerous earmarks is the multibillion-dollar Energy and Water Appropriations Act which, among other purposes, appropriates budget authority for water projects—dams, levees, and so forth. An earmark is a line in the bill, or a line in the committee report accompanying the bill indicating the committee’s intention that a specified amount of budget authority is to be obligated for a particular water project. What is often confusing to people is that report language does not become law and is tech- nically not binding on Executive branch agencies. Nevertheless, it has been the common prac- tice of Executive departments and agencies to follow closely the wishes of Congress as set forth in report language because they know that failure to do so will—to put it mildly—“displease” the appropriations subcommittees that control their respective budgets. (In 1987, then OMB Director Jim Miller, attempted to ignore report language earmarks, causing a political firestorm.14) Earmarks can appear in the Senate or House version of the appropriations bill or report, or they sometimes appear for the first time in the Senate-House conference agreement (i.e., the final version) of the appropriations bill (or the joint statement of managers accompanying the conference report). The appearance of 11th-hour earmarks in conference agreements—dubbed “air-dropped language”—is what often attracts a great deal of criticism from media and watch- dog groups. 02_8part.qxp 11/20/07 10:22 AM Page 67

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The earmark process typically begins in March or April when Members of Congress sub- mit their “earmark requests” to the relevant appropriations subcommittees. Not surprisingly, members of the House and Senate Appropriations Committees typically have greater success in landing earmarks than nonmembers. The heaviest incidence of earmarks generally occurs in highway projects, military construction projects, energy and water development projects, defense procurements, and research and development funding (although the Congress thus far has wisely protected the National Institutes of Health and the National Science Founda- tion from earmarks.)15 Critics of earmarks pointed out that the number of earmarks more than tripled since 199416 and reports of inappropriate or wasteful earmarks were surfacing with greater fre- quency.17 According to CRS, the number of earmarks in FY 2006 exceeded 13,000, not includ- ing more than 5,600 earmarks contained in the multiyear highway authorization bill.18 Supporters of earmarking authority argue that it is appropriate for a Senator or Repre- sentative to seek appropriations for urgent projects in their States and Districts, rather than leaving constituents’ needs to an impersonal government agency grants process. But oppo- nents of earmarks assert a growing number of low-priority or wasteful earmarks that pre- sumably could be avoided through an impartial review of funding needs by an Executive Branch agency. Earmark opponents also express concern that time spent pursuing earmarks has diverted Congress’ attention from broader policy issues confronting the nation. In FY 2007, the trend of escalating earmarks came to an abrupt halt. Prior to the 2006 midterm elections, Congress had enacted only 2 of the 11 regular appropriations bills (defense and homeland security). The rest of the government’s annually funded programs were placed on auto-pilot under “continuing resolutions” (see chapter 2-2 for an explana- tion of CRs). After Democrats won majorities in the House and Senate, the outgoing Repub- lican leadership decided to extend the continuing resolutions until February 15, leaving the nine unfinished appropriations bills for the incoming Democratic majorities to complete in the new Congress. The incoming Democratic Appropriations Chairmen—Senator Robert C. Byrd (D-WV) and Representative David R. Obey (D-WI)—announced on December 11, 2006, their inten- tion to enact a “year-long joint resolution” to dispose of the nine unfinished appropriations bills, which would continue most programs at FY 2006 levels (with some increases or decreases for specific programs).19 To the surprise of many, they also announced “there would be no Congressional earmarks in the joint funding resolution . . . [and] we will place a moratorium on all earmarks until a reformed process is put in place…subject to new standards for trans- parency and accountability”20 (emphasis added). True to their word, the appropriators included in the $463.5 billion FY 2007 funding res- olution (H.J.Res. 20, 110th Congress), a provision making explicit Congress’ intent that ear- marks included in committee reports for FY 2007 were not binding.21 After the funding measure was signed into law by the President on February 15, the Office of Management and Budget underscored the no earmarks policy by sending a memorandum to all agency heads instructing them to ignore earmarks included in FY 2007 committee reports.22 The Byrd-Obey decision to place a moratorium on all earmarks until earmark reform measures were adopted was the equivalent of an earthquake in Washington, D.C., where interest groups and lobbyists had been working for a year with Members of Congress to secure thousands of earmarks—from water projects to agricultural and health research. (The 02_8part.qxp 11/20/07 10:22 AM Page 68

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earmark moratorium did not affect military earmarks in the already-enacted defense appro- priations bill.) Earmark reform measures were adopted by the House soon after the convening of the new Congress in January 2007. The House adopted a new rule (H.Res. 6, 110th Congress) requiring disclosure of earmark sponsors, as well as justifications for earmarks, and written certification that earmarks will not benefit their House sponsor. The House Rule became effec- tive immediately. The Senate’s earmark reform became effective in September 2007 as part of S. 1, the lob- bying and ethics reform bill. The new Senate Rule defines an earmark as “a congressionally directed spending item, limited tax benefit, and limited tariff benefit,” and prohibits consid- eration of legislation unless the committee chair or majority leader certifies that all earmarks in legislative or report language have been identified by sponsor, and have been publicly avail- able on the Internet for 48 hours. Senators must also provide to the committee, the name and location of the earmark beneficiary, and Senators must certify that they have no financial interest in the earmark. The Rule also prohibits placing new earmarks into conference reports. As the new House and Senate Rules on earmark transparency and accountability take effect for the 110th Congress, it is possible that we will see fewer examples of quid pro quo lobbying scandals and fewer examples of expenditures that annoy taxpayers and defy com- mon sense. However, these reforms will not lead to a reduction in Federal deficits or accumulated debt. Earmark reform is more about how funds are spent on a project-by-project basis than about reducing overall spending. Those who suggest that earmark reform is the answer to rapidly rising Federal debt are unfortunately diverting the public’s attention away from the enormous fiscal issues that face our nation, particularly, exploding entitlements due to the “perfect storm” of rapidly rising health care inflation and the baby boomer retirement.

Recommended Sources for More Information on Earmarks

• Senate Appropriations Committee Press Releases on Earmark Reform, “Byrd-Obey Announce FY 2007 Plan,”December 11, 2006, and April 17, 2007, http://appropriations.senate.gov/news.cfm. • CRS: “Earmark Reform Proposals,” RL33397, December 8, 2006; “Earmarks in FY 2006 Appropria- tions Acts,” March 6, 2006; “Earmarks in Appropriation Acts: FY 1994, FY 1996, FY 1998, FY 2000, FY 2002, FY 2004, FY 2005,”January 26, 2006. • OMB: Database on more than 13,000 earmarks in FY 2005 appropriations bills: http:// earmarks.omb.gov. • GAO: “Principles of Federal Appropriations Law,” 3d ed., Vol. II, chap. 6 (B): Line-Item Appropria- tions and Earmarks, February 2006, 40–47. Available online at http://www.gao.gov/special .pubs/d06382sp.pdf. • National Journal Group, “Earmark Heartburn,”March 31, 2007. • Congressional Quarterly Weekly: “C-17s: A Primer in Directed Spending,”January 8, 2007; “Budget Villain, Local Hero,”June 12, 2006. • Testimony of Steve Ellis, Taxpayers for Common Sense Action, on “Earmark Reform” before the Sen- ate Subcommittee on Federal Financial Management, Committee on Homeland Security and Gov- ernmental Affairs, March 16, 2006. 02_8part.qxp 11/20/07 10:22 AM Page 69

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The Line-Item Veto and Expedited Rescission “From the nature of the Constitution” George Washington said, “I must approve all the parts of a bill, or reject it in toto.”23

The line-item veto (LIV) is a budget process reform proposal that repeatedly emerges when budget deficits get out of control or wasteful earmarks make the headlines. A legislative grant of line-item veto authority was enacted into law in 1996—and subsequently struck down by the Supreme Court as unconstitutional in 1998. However, memories in Washington are short, because the LIV has once again emerged as an “answer” to burgeoning deficits. Before looking at more recent proposals, it is useful to recall how the LIV Act of the 1990s operated and why it was struck down by the Court. The U.S. Constitution (Article I, §7, cl. 2) sets forth a very clear process for enacting a law:

Every bill which shall have a passed the House of Representatives and the Senate, shall, before it become a Law, be presented to the President of the United States; if he approve he shall sign it, but if not he shall return it, with his Objections to that House in which it shall have originated.

This provision of the Constitution unambiguously gives the President the option of signing a bill or returning (vetoing) the bill. The Constitution clearly does not allow the President to sign or return a “part” or a “provision” of a bill. Nevertheless, in 1994, Republicans swept the midterm elections promising to enact into law a “Contract with America” that called for enactment of a line-item veto. President Clin- ton, who had, himself, called for LIV authority during his campaign for President, instructed his staff to negotiate LIV legislation with the Republican Congress. The result of these nego- tiations was the Line Item Veto Act of 1996. The LIV Act attempted to finesse the absence of constitutional authority to veto an indi- vidual provision of a bill, by empowering the President to “cancel” a dollar amount of discre- tionary budget authority, an item of direct spending, or a limited tax benefit (i.e., a tax earmark). The concept of the LIV Act drafters was that “canceling” an item of discretionary budget authority would amount to a congressionally authorized rescission and was therefore a con- stitutional delegation of congressional authority to the President. The cancellation of items of direct spending (entitlement provisions) and tax earmarks by the President was more complicated. The concept developed by Administration and con- gressional negotiators was that such cancellations would result in the direct spending and tax items having no “legal force or effect.” Not surprisingly, the Justices didn’t accept the distinction between an item veto and a “cancellation.” The Court in 1998 struck down the LIV Act, holding that the “cancellation” scheme did in fact amount to an unconstitutional grant of item veto authority to the Presi- dent. The Court reaffirmed what George Washington had clearly and unambiguously writ- ten more than two centuries ago—that the President has authority to sign or veto an entire bill, not a portion of a bill.24 The Supreme Court’s clear decision has not dissuaded backers of the item veto from once again advocating passage of an LIV. In his first budget transmittal to Congress, President 02_8part.qxp 11/20/07 10:22 AM Page 70

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Be Careful What You Ask For . . . I was an Assistant Director at the Office of Management Budget during negotiation of the LIV Act, its implementation, and its review by the Supreme Court. Needless to say, this gave me an interesting perspective on the item veto. I offer the following observa- tions to this and future Administrations who may seek to amend the Constitution to create an item veto, or to expand the President’s rescission authority in ways that might simulate an item veto. Be careful what you ask for, Mr. President. The item veto immediately changes the political dynamic between the President and the Congress. From the congressional perspective, it is quite obviously a negative change because the President suddenly has powerful leverage over programs and projects of immense importance to individual members of Congress. But the item veto is also a negative change for the President. After the enactment of each appropriations bill, the item veto presents the President with the unenviable task of deciding which of the hundreds (or thousands) of items of spending in each bill is so bad that it’s worth singling out a particular Member of Congress for vetoing a spend- ing item they sponsored. With the item veto power in hand the President can’t very well let major appropri- ations bills go by without vetoing any item. That would be an endorsement of each and every item in the bill—and in a representative democracy where legislation is developed through compromise and give-and-take, there are no bills completely free of low-pri- ority items or items of questionable national importance. Yet, singling out particular projects, and the project’s congressional sponsor(s), places the President in a very tough political dilemma following enactment of each and every appropriations bill. And the same dilemma applies to items in tax bills and entitlement bills. To put it bluntly, the item veto requires the President to decide, after each budget bill, how many political enemies to make—all in the interests of retargeting a relatively small amount of money. Moreover, the item veto also adds great complexity to development of the Presi- dent’s Budget. I found that with the item veto power available, our legislative affairs office at OMB was deluged in the fall with letters from Members of Congress asking the President to include their high-priority projects in the President’s budget—as a way of inoculating them from later use of the item veto. Suddenly, the task of putting together the President’s Budget became far more complicated. In sum, the item veto makes the political dynamics between the President and Con- gress far more complicated, with comparatively little budgetary savings. Do we really want the President mired in petty political fights, when he or she should be focused on the broad issues facing the nation? Be careful what you ask for, Mr. President. The fiscal crises facing the nation can- not possibly be fixed by an item veto, but the item veto can imperil the delicate balance of powers that has served our nation so well for more than two centuries. 02_8part.qxp 11/20/07 10:22 AM Page 71

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George W. Bush included a call to “restore the President’s line item veto authority” and has frequently renewed the request. The House obliged the President’s request and on June 22, 2006, passed the “Legislative Line Item Veto Act of 2006” by a vote of 247–172.25 However, the Senate did not take up the measure. In reality, the House-passed measure was not a line-item veto. It was an enhancement of the “rescission” authority the President already has, masquerading as an LIV. As explained in chapter 2-6, under the 1974 Budget and Impoundment Control Act, the President is permitted to propose to Congress “rescissions” of appropriated funds. The Presi- dent can withhold the funds for 45 days, but if Congress does not enact the rescissions into law, the President must release the funds. (This requirement was placed in law as a result of President Nixon’s “impoundment” of funds.) The House-passed bill would have augmented the existing rescission authority by requir- ing that Congress vote on the President’s proposed rescissions (often referred to as “expedited rescission authority”). In addition, the proposal would expand the reach of proposed rescis- sions, beyond appropriations, to include tax benefits and new entitlement spending. The bill would also prohibit rescinded funds from being used as “offsets” for other new spending (as they often have been by the Appropriations Committees). The House-passed measure died at the end of the 109th Congress without any Senate action on the bill. However, the Senate did take up a variation of the House “item veto” bill in January 2007.26 The measure was rejected when Senate supporters failed to get the 60 votes needed to overcome a filibuster by opponents of the measure. Despite all of the recent political rhetoric about granting the President a “constitutional” LIV, these and similar proposals are not “constitutionally valid” line-item veto mechanisms. LIV is not constitutional; the Court made clear that Presidents do not have constitutional authority to veto pieces of bills. These are simply proposals to expand the President’s current rescission authority by requiring Congress to vote on his proposals.27 The important issue here is whether expanding the President’s current rescission author- ity would upset the balance of powers between the Executive and Legislative Branches. In a nutshell, after the Congress sends the President a bill, should the President have the author- ity to require Congress to vote again on selected provisions of that bill? Proponents of expedited rescission say yes—it would allow the President to bring waste- ful spending or tax loopholes to light, providing an opportunity to eliminate such provisions as well as serving as a deterrent for their enactment in the first place. Opponents of expedited rescission say no—it would allow a President to put undue pres- sure on individual Members of Congress by requiring special votes on provisions important to their States or Districts. Opponents also point out that major legislative packages are often the result of exten- sive compromises among competing interests. Giving the President’s authority to force sep- arate votes, after the fact, on individual provisions of such legislation could undermine Congress’ ability to assemble important legislation without advance presidential assurances. These are not minor or arcane issues of procedure, especially at a time when many have argued that the pendulum of authority has swung too far in the direction of the Executive Branch. 02_8part.qxp 11/20/07 10:22 AM Page 72

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Moreover, say opponents:

• The President’s existing authority to propose rescissions has been used sparingly casting doubt on the need to augment that authority;28 and • Even if such authority were heavily used, it would not make a dent in the fiscal crises we face, particularly, exploding entitlements due to rapidly rising health care inflation.

Biennial Budgeting The Budget Act calls for Congress to adopt a new Budget Resolution and all of the regular appropriations bills (currently numbering 12) each year. Some have argued that the annual budget process—in all of its complexity—is duplicative and inefficient, leaving little time for thoughtful oversight and long-range planning both in Congress and the Executive Branch. Members of Congress, Administration officials, and outside observers have offered a vari- ety of proposals since the late 1970s to switch the Federal budget process from an annual timetable to a two-year, or “biennial,” timetable. Most of these proposals call for lawmakers to use the first year of each Congress to adopt a biennial (two-year) budget resolution and biennial appropriations. The second year of each Congress would be devoted to multiyear authorization bills and oversight. Biennial budget proposals also typically require the Presi- dent to submit two-year budgets to the Congress and conduct performance reviews on a two- year cycle as well. One of the oddities of biennial budgeting is that it has received widespread support of all Democratic and Republican Administrations since the 1980s, various bipartisan commissions, key congressional committees, and majorities in surveys of the House and Senate, but it has never passed the Senate or House.29 Proponents of biennial budgeting argue that it would reduce the enormous amount of time consumed by the annual budget process, giving Congress more time to review the effec- tiveness of existing programs in meeting the nation’s needs. In addition, they suggest that biennial budgeting would afford agency program managers and recipients of federal funds more financial stability and, consequently, the potential for better planning and greater effi- ciencies. Opponents of biennial budgeting argue (convincingly, in my view) that the most effective oversight actually occurs through the process of annual appropriations—from budget hearings, to drafting the annual appropriations bills, to negotiating with the Administration. Oppo- nents also suggest that realistically, if regular appropriations were biennial, Congress would have to enact significant midcourse corrections through supplemental appropriations in the “off-years” and possibly revised budget resolutions, eliminating the supposed advantages of “increased time for oversight.”Such midcourse corrections would be essential due to the dif- ficulties of budgeting too far in advance.

Notes

1. See “Statement by the President” on defeat of the Balanced Budget Amendment, The White House, March 4, 1997. 2. H.J.Res. 1, 104th Congress. 02_8part.qxp 11/20/07 10:22 AM Page 73

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3. Two-thirds of the Members present and voting, not two-thirds of the entire membership. 4. See David C. Huckabee and Meredith McCoy, “Constitutional Conventions: Political and Legal Questions,”IB80062 (Washington, D.C.: Congressional Research Service, July 8, 1985). See also James V. Saturno, “A Balanced Budget Constitutional Amendment: Background and Congressional Options,” 97-379 GOV (Washington, D.C.: Congressional Research Service, March 20, 1997), Part IV. 5. While some versions of the BBA waive the requirement when war has been declared or a mili- tary threat is “imminent,” none provide a waiver for vital homeland security investments or prepara- tion for longer-term threats such as the Global War on Terror. 6. States impose balanced budget requirements only on their “operating budgets” but allow sub- stantial borrowing and investment through their “capital budgets.” The Federal government, by con- trast, lumps together all operating and investment expenditures in one “unified budget.” 7. Balanced Budget Amendments introduced in the 110th Congress: S.J.Res. 1, H.J.Res. 1, H.J.Res. 7, H.J.Res. 10, H.J.Res. 21, and H.J.Res. 45 (as of October 28, 2007). 8. “National Income” is the total income earned in generating the U.S. Gross Domestic Product (the total value of goods and services produced by the U.S. economy). 9. Congressional Budget Office, “The Budget and Economic Outlook: Fiscal Years 2008 to 2017” (Washington, D.C.: January 2007), 77. 10. See Statement of Administration Policy, April 15, 1999, Office of Management and Budget. 11. Will Rogers Says, ed. Reba Collins (n.p.: Neighbors and Quaid, 1993), 76. 12. CRS notes, correctly, that “there is not a single specific definition of the term earmark accepted by all practitioners and observers of the appropriations process, nor is there a standard earmark prac- tice across all ...regular appropriations bills....For one bill,an earmark may refer to a certain level of specificity within an account. For other bills, an earmark may refer to funds set aside within an account for individual projects, locations, or institutions.” Sandy Streeter, “Earmarks and Limitations in Appropriations Bills,” 98-518 GOV (Washington, D.C.: Congressional Research Service, Decem- ber 7, 2004), 1. 13. See Jackie Calmes, “In Search of Presidential Earmarks,” Wall Street Journal, February 21, 2006. 14. James C. Miller III, “Earmarks Infection,” Washington Times, May 24, 2006. 15. For a discussion of defense earmarks, see Center for Defense Information, www.cdi.org, “Con- gress’ Earmark Reform Fiasco,”by Winslow Wheeler, March 20, 2006. For background on all earmarks, see Congressional Research Service Memorandum, “Earmarks in Appropriations Acts: FY 1994, FY 1996, FY 1998, FY 2000, FY 2002, FY 2004, FY 2005” (Washington, D.C.: January 26, 2006). 16. Congressional Research Service Memorandum, January 26, 2006. 17. See, for example, Ken Silverstein, “Inappropriate Appropriations,” Harper’s Magazine, April 26, 2006; Danielle Knight, “Loading the Pork Train,” U.S. News & World Report, May 29, 2006; and Peter Whoriskey, “Priorities of Earmarks are Disputed,” Washington Post, May 24, 2006, A-03. 18. CRS notes in its report, “because of the varying ways that earmarks are defined and applied in appropriations bills, we have not attempted to combine and summarize earmarks across the 11 appro- priations bills covered....To the greatest extent possible, we have maintained a consistent definition of earmarks within each entry, so that even in the absence of universally accepted terminology, the data for a particular bill were collected using common methodology.”Therefore, the author’s aggregation of the earmark data in the line marked “total” should be reviewed with the CRS caveat in mind. Congressional Research Service, “Earmarks in FY 2006 Appropriations Acts” (Washington, D.C.: March 6, 2006), 3. 19. H.J.Res. 20 (110th Congress). 20. Statement of U.S. Senator Robert C. Byrd (D-WV) and U.S. Representative Dave Obey (D-WI), December 11, 2006. 21. Title I, section 112 of the bill stated that “any language specifying an earmark in a committee report or statement of managers accompanying an appropriations Act for fiscal year 2006 shall have no legal effect with respect to funds appropriated” under the joint resolution.” 02_8part.qxp 11/20/07 10:22 AM Page 74

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22. Office of Management and Budget, Memorandum M-07-10 for the Heads of Departments and Agencies, February 15, 2007. 23. Writings of George Washington, ed. J. Fitzpatrick 1940), 96. 24. Clinton v. City of New York, 524 U.S. 417 (1998), http://supct.law.cornell.edu/supct/html/97- 1374.ZS.html. 25. HR 4890 (109th Congress). Roll Call No. 317. 26. Senator Gregg (R-NH) offered the measure as an amendment to legislation increasing the min- imum wage (HR 2, 110th Congress). On a 49–48 vote on January 24, 2007, the Senate fell 11 votes short of the 60 required to end a filibuster of the amendment. 27. “Expedited” rescission refers to proposals to expedite or require congressional voting on pro- posed presidential rescissions. “Enhanced” rescission, by contrast, refers to proposals to flip the burden of action so that presidential rescission proposals would take effect unless overturned by Congress, as opposed to current law, where rescission proposals do not take effect unless approved by Congress. “Enhanced rescission” was effectively ruled unconstitutional when the Supreme Court struck down the Line Item Veto Act of 1996. 28. According to the Congressional Budget Office, “Presidents have made very little use of the author- ity to recommend rescissions. From 1976 through 2005, Presidents proposed about $73 billion in rescis- sions, about one-half of 1 percent of the more than $15 trillion in total discretionary budget authority legislated in those years. Moreover, in dollar terms, the Congress enacted only about one-third of the proposed rescissions.” Congressional Budget Office, “CBO’s Comments on H.R. 4890, the Legislative Line Item Veto Act of 2006” (Washington, D.C.: March 15, 2006), 2. 29. See James Saturno, “Biennial Budgeting: Issues and Options,”RL30550 (Washington, D.C.: Con- gressional Research Service, August 10, 2006). 02_9part.qxp 11/19/07 7:28 PM Page 75

CHAPTER 2-9

Key Budget Concepts

The Federal Budget There are two separate and distinct Federal Budgets: (1) the President’s Budget and (2) the Congressional Budget Resolution. Not later than the first Monday in February of each year, the President submits to the Congress the Administration’s budget plan for the fiscal year that will start on October 1 of that year. The President’s Budget sets forth the overall levels of recommended spending and revenues as well as a detailed listing of the dollar amounts the President proposes for each individual program, project, and activity of government.5 The Congressional Budget Resolution is a “concurrent resolution of Congress”6 reported from the House and Senate Budget Committees and adopted by the Congress. Unlike the very detailed President’s Budget, the Congressional Budget Resolution does not include detailed programmatic budget levels. Instead, it establishes overall budget aggregates (total spending, total revenues, annual deficits, public debt) and spending authority allocated among the com- mittees of Congress. The Budget Resolution also includes a breakdown of total spending among broad “functional” categories such as “Energy,”“Agriculture,” and “Health,” but this breakdown is not binding on annual funding decisions made by the Appropriations Com- mittees. Both the President’s Budget and the Congressional Budget Resolution are essentially plan- ning documents designed to guide the Congress as it works on the separate pieces of legisla- tion (appropriations, entitlement, and tax bills) that actually determine the amount of Federal spending, revenues, and resulting deficits or surpluses.7

The Fiscal Year To keep track of its revenues and expenditures in an orderly way, the Federal government has established a 12-month period known as the “fiscal year” (FY). Since fiscal years are determined

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by the calendar year in which the fiscal period ends, the October 1, 2007 to September 30, 2008 fiscal period is FY 2008.

Understanding Federal Spending: Budget Authority versus Outlays Spending levels in the Federal Budget process consist of two types of numbers: (1) budget authority and (2) outlays. Outlays are simply disbursements by the Treasury. When the Treasury issues a check in FY 2007, that disbursement is an FY 2007 outlay. Budget authority (usually referred to as “BA”) is more important, but less understood. BA is legal authority Congress gives to a Federal department or agency to enter into obliga- tions that will result in outlays. It is important to understand that when Congress appropriates funds for a particular program, it is enacting BA—not outlays. In short, appropriations are a form of budget authority. To illustrate the relationship of budget authority to outlays, consider the following exam- ple. The Department of Defense Appropriations Act for FY 2006 provided $2.4 billion in new budget authority to the Department of the Navy to build a nuclear submarine. This means that the Congress gave the Department of the Navy legal authority to sign contracts to build the submarine. However, this budget authority will only result in outlays when the con- tractors are issued checks by the Treasury. Since contractors on a lengthy construction con- tract are typically paid only upon completion of each stage of the construction, the $2.4 billion of budget authority could result in outlays over several years, as reflected in the fol- lowing table.8

FUNDING OF A NEW NUCLEAR SUBMARINE (in billions of dollars) FY’06 FY ’07 FY ’08 FY’09 Budget authority (BA) 2.4 0.0 0.0 0.0 Outlays (OT) 0.2 0.2 1.0 1.0

In other cases, new budget authority appropriated for a Fiscal Year will “spend out” imme- diately, which means the budget authority will result in outlays during the same Fiscal Year. Examples of appropriations with a quick spend-out rate are salaries of Federal workers and benefit programs such as veterans’ benefits. Even though outlays often flow from budget authority over a number of years, the BA itself must be used in the year, or years, for which it is appropriated by Congress. Typically, budget authority is provided for one year only and is available beyond the end of a fiscal year only if Congress specifically states in the appropriations law that the budget authority is to remain available for an extended period of time. Figure 3 illustrates the overall relationship of budget authority to outlays. In this diagram, taken from the President’s FY 2007 budget, $2.739 trillion in new budget authority is requested for FY 2007. The President’s Budget staff, at the Office of Management and Budget (OMB), estimated that this new budget authority for FY 2007 would result in outlays of $2.206 tril- 02_9part.qxp 11/19/07 7:28 PM Page 77

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FIGURE 2-9.1. Relationship of Budget Authority to Outlays in President’s FY 2007 Budget9 (Billions of Dollars)

Source: Office of Management and Budget

lion in FY 2007 and outlays of $534 billion in future years. The remaining $564 billion within the $2.770 trillion in total outlays estimated for FY 2007 is projected to flow from Budget authority enacted in prior fiscal years.

Forms of Budget Authority Budget Authority is the legal authority provided by Congress for Federal agencies to enter into obligations that will result in immediate or future outlays of Federal funds. Budget authority can take several forms, but the three most important are as follows:

1. Appropriations—An Act of Congress that permits Federal agencies to incur obligations for specified purposes and to make payments out of the Treasury for those purposes. An appropriation is the most common form of Budget Authority. 2. Borrowing authority—An Act of Congress that permits a Federal agency to incur obliga- tions and to make payments for specified purposes out of money borrowed from the Treasury, the Federal Financing Bank, or the public. (The Budget Act generally requires that new borrowing authority must be approved in advance in an appropriations act.) 3. Contract authority—An Act of Congress that permits a Federal agency to enter into con- tracts for specified purposes that obligate the Federal government, for example, highway projects (see chapter 3-9). Such contracts must then be followed by appropriations that 02_9part.qxp 11/19/07 7:28 PM Page 78

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permit payments out of the Treasury to liquidate those obligations. (The Budget Act gen- erally requires that new contract authority must be approved in advance in an appropri- ations act.)

Permanent versus Annual Appropriations Although most budget authority is appropriated for one year, and less frequently for two or more years, some budget authority has been made permanent by statute. This consists mainly of budget authority for trust funds (such as Social Security), interest on the public debt (for which budget authority is automatically provided under a permanent appropriation enacted in 1847), and the authority to spend certain government receipts called offsetting collections.

Major Categories of Federal Spending In recent years, the President and Members of Congress often formulate budget plans in terms of four major categories of spending: (1) defense spending, (2) nondefense discretionary spending, (3) entitlement or mandatory spending, and (4) interest payments. Each of the four major categories is described below.

Defense Spending Defense spending refers primarily to spending by the Department of Defense, but also by the Department of Energy which is responsible for nuclear weapons. Nearly all defense spending is discretionary in nature. It is often broken out as a separate budgetary category because of the size of the defense budget, $631 billion for FY 2007. Currently, defense spending consti- tutes more than one-fifth of the Federal Budget (excluding spending on military retirement and healthcare, and veterans, which are generally included in the entitlements category).10

Nondefense Discretionary Spending Nondefense discretionary spending, often referred to by the shorthand “NDD,”refers to non- defense programs that are subject to annual funding decisions in the appropriations process. Examples include funding for law enforcement, education, homeland security, environmen- tal protection, transportation, national parks, disaster relief, food inspection, medical research, and foreign aid. Currently, NDD constitutes about 18 percent of the Federal Budget.12

Entitlements, Mandatory Spending, and Direct Spending Entitlements are benefit programs established by law, such as Social Security, Medicare, and Medicaid that require the Federal government to pay specified benefits to eligible indi- viduals. From a budgetary perspective, the fundamental characteristic of an entitlement is the absence of annual, discretionary decisions on funding levels. Instead, formulas included in laws establishing the entitlement programs determine how much money the Federal government is obligated to pay. For this reason, entitlements constitute the bulk of a larger budget category called “mandatory spending”—reflecting the absence of annual discre- 02_9part.qxp 11/19/07 7:28 PM Page 79

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tionary funding decisions. A synonymous term for mandatory spending often used in bud- get deliberations is direct spending because the entitlement or other mandatory spending flows directly from entitlement or other statutes—without any intervening discretionary appropriations decisions. An example of how an entitlement operates is Social Security, the nation’s largest enti- tlement program (at $612 billion in FY 2008). The Social Security laws prescribe formulas under which retired workers receive benefits based on the length of time they have worked and their earnings (up to certain limits). The total cost of Social Security for a particular fis- cal year is determined by the number of qualifying retirees and the benefits formula estab- lished in law—not by annual appropriations decisions. In this way, entitlement programs like Social Security, Medicare, and Medicaid are regarded as nondiscretionary, or “mandatory,” since their funding requirements are determined by legal formulas rather than annual fund- ing decisions.13 “Entitlements” constitute more than half of all Federal spending. Nearly one-quarter of this spending is means tested—that is, paid to beneficiaries who must prove their need based on limited income or assets. Medicaid, a joint Federal-state health program, accounts for half of all means-tested spending.14 The remaining three-quarters of mandatory spending dollars go to beneficiaries who do not have to satisfy a means test. Social Security is the largest non-means-tested program. Entitlements may also be differentiated based on their various objectives. Social Security and unemployment compensation are based on principles of social insurance. Other programs are categorized as public assistance programs because they provide income support for specific categories of needy individuals (e.g., needy families; or aged, blind, or disabled individuals). Health entitlements pay medical expenses of the elderly on a social insurance basis and med- ical expenses of the poor on a means-tested basis. Other entitlements provide benefits to a

FIGURE 2-9.2. FY 2007 Outlays by Major Budget Category (in billions of dollars)

Net Interest 235

Nondefense Discretionary 495

Mandatory 1,457

Defense Discretionary 547

Source: Congressional Budget Office, August 2007 02_9part.qxp 11/19/07 7:28 PM Page 80

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variety of disparate groups: veterans, Federal retirees, coal miners suffering from black lung disease, college students, and children. The term entitlement had become widely used in public policy discussions by the time Congress turned to enactment of the Congressional Budget and Impoundment Control Act of 1974 (Budget Act). During debate on the Budget Act, the Committee on Rules and Adminis- tration made the following statement in its report:

This Section (§401 of the Budget Act) deals with advance spending authority of the type generally known as mandatory entitlement legislation. Simply stated, this is leg- islation which, when enacted entitles persons or governments who meet the require- ments established in the legislation to receive payments from the Federal Government, the budget authority for which has not been provided in advance through appropria- tions Acts. The basic legislation determines the level of budget authority needed to implement the program; once enacted, it mandates an appropriation Act containing such budget authority.15

ORIGIN OF THE TERM ENTITLEMENT One of the great privileges of my career as a Senate staffer was to serve twice as Finance Committee General Counsel for the late Senator Daniel Patrick Moynihan of New York. In addition to being a brilliant thinker, the Senator had an insatiable curiosity for history. With entitlements being the fastest-growing part of the Federal Budget, in 1993 he asked me to research the origin of the term entitlement. In a memorandum dated May 5, 1993, I reported to “DPM,” as we called him, that the term entitlement appears to have originated in a June 1965 Yale Law Journal article by Yale Law Profes- sor Charles A. Reich (volume 74, number 7, p. 1245). In the article, entitled “Individual Rights and Social Welfare: The Emerging Legal Issues,” Reich forcefully introduced the concept of entitlement:

Society today is built around entitlement....Many ofthe most important of these entitlements now flow from government....Such sources of security, whether private or public, are no longer regarded as luxuries or gratuities; to the recipients they are essentials, fully deserved, and in no sense a form of charity. It is only the poor whose entitlements, although recognized by public policy, have not been effectively enforced....Since the enactment of the Social Security Act, we have recognized that (the poor) have a right—not a mere privilege—to a min- imal share of the commonwealth. Even were this not so, the experience of thirty years has shown how much danger there is to society as a whole when any group in the population lacks entitlements and hence chronically suffers from insecu- rity and dependence....The idea ofentitlement is simply that when individu- als have insufficient resources to live under conditions of health and decency, society has obligations to provide support, and the individual is entitled to that support as of right. 02_9part.qxp 11/19/07 7:28 PM Page 81

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Reich’s article was then quoted by Mr. Justice Brennan in the Supreme Court case Goldberg v. Kelly, 397 U.S. 254 (1970), a case that introduced entitlement into the legal arena. The entitlement concept was a basis for the opinion of the majority, written by Brennan, in which the Court affirmed a lower court decision that a pretermination evidentiary hearing is necessary to provide welfare recipients with procedural due process. In so doing, the Court held that “welfare benefits are a matter of statutory entitlement for persons qualified to receive them” (emphasis added) and quoted the Reich article.

Net Interest Net interest, a fourth major budget category, refers to payments to individuals, corporations, foreign governments, or other nongovernmental entities that hold bonds and notes that finance the Federal debt.16 In FY 2007, net interest was approximately $235 billion—approaching 9 per- cent of the Federal Budget.17

Budget Functions Federal spending (i.e., budget authority and outlays) is sometimes divided into 19 conceptual categories known as “budget functions.” This is a system of classifying spending according to

050: National Defense 150: International Affairs 250: General Science, Space, and Technology 270: Energy 300: Natural Resources and Environment 350: Agriculture 370: Commerce and Housing Credit 400: Transportation 450: Community and Regional Development 500: Education, Training, Employment, and Social Services 550: Health 570: Medicare 600: Income Security 650: Social Security 700: Veterans Benefits and Services 750: Administration of Justice 800: General Government 900: Net Interest 950: Undistributed Offsetting Receipts 02_9part.qxp 11/19/07 7:28 PM Page 82

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the national needs being addressed. Congress’s annual Budget Resolution allocates budget authority and outlays among the various functions in the Federal Budget. However, while the functions are a useful display of Federal spending priorities, they have little practical impact on the annual process of allocating discretionary Federal funds.

Federal Revenues

Our Constitution is in actual operation; everything appears to promise that it will last; but nothing in this world is certain but death and taxes.—Benjamin Franklin, 178918

The Federal Budget is customarily viewed as having two “sides”— a spending side and a rev- enue side. Another term often used in the congressional budget process for revenues or taxes is governmental receipts. Governmental receipts are collections from the public based on the government’s exercise of its sovereign powers. They include individual and corporate income taxes, social insurance taxes (e.g., Social Security payroll taxes), excise taxes, estate and gift taxes, and customs duties. Congress’s authority to raise revenues is set forth in Article I, Section 8, Clause 1, of the Constitution: “The Congress shall have Power to lay and collect Taxes, Duties, Imposts and Excises.” The Constitution also requires that revenue bills originate in the House of Representatives.19

Offsetting Receipts A practice that frequently causes confusion is that revenues do not include receipts received by the Federal government for sale of products or services rendered (e.g., sale of timber from Federal lands or entrance fees for national parks). Such receipts are netted against Federal spending and thus called “offsetting collections” or “offsetting receipts.” It is not uncommon for issues to arise concerning whether particular government user charges are more appropriately regarded as governmental receipts (on the revenue side of the budget) or as offsetting collections/receipts (on the spending side).20

Deficits, Debt, and Debt Ceiling A budget deficit or surplus is simply the difference between outlays and revenues for a given fis- cal year. (Note that outlays are used in this calculation, rather than budget authority, because outlays reflect dollars actually disbursed.) For example in FY 2007, revenues and outlays were $2.568 trillion and $2.731 trillion, respectively, yielding a budget deficit of $163 billion.21 In contrast to an annual deficit, the Federal debt is the accumulated debt of the Federal government. Whenever the Federal government runs a budget deficit, the additional bor- rowing to finance that deficit adds to the Federal debt. By contrast, whenever the Federal government runs a budget surplus, as it did during Fiscal Years 1998 through 2001, the Fed- eral debt decreased because the Treasury used the surplus to redeem some of the outstand- ing debt, rather than borrowing additional funds to redeem the debt (known as “rolling over the debt”). 02_9part.qxp 11/19/07 7:28 PM Page 83

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Taxes, Fees, and the Duck Test Not surprisingly, there’s no shortage of political banter about what a “tax” is and what a “fee” is. This issue became part of a Time magazine cover story shortly after George H. W. Bush’s presidential inauguration. During his 1988 campaign, Bush had famously pledged, “No new taxes.”But the following week, at a Senate hearing, Bush’s Budget Director cast a haze over what the pledge actually meant. As reported by Time on January 30, 1989:

Last week’s signals from Budget Director-designate were intrigu- ing. At the outset, Darman seemed willing to raise new revenues if euphemisms like “definitional changes” and “user fees” could be substituted for the word tax. Then, in a yin-yang reminiscent of the early 1980s, when he helped craft Reagan's acceptance of revenue enhancements, Darman backed off, invoking the “duck test.”No matter what a revenue raiser is called, he told Congress, if it looks like a tax and sounds like a tax, and people perceive it to be a tax, it is a tax—and thus violates the President's pledge. Unless, he concluded cryptically, there are special circumstances.22

Federal law also contains a statutory limit on the Federal debt, commonly called the “debt ceiling.”If the activities of the Federal government require a higher limit, Congress must enact a law to raise the debt ceiling. President Bush on September 29, 2007, signed into law an increase in the debt ceiling to $9.815 trillion.23 Note that the debt ceiling approximates Gross Federal debt—which includes: (1) Debt Held by the Public (money borrowed by selling Trea- sury securities in the capital markets to various buyers including foreign investors, mutual funds, state and local governments, commercial banks, insurance companies and individu- als); and (2) debt held by Federal government accounts, such as the Social Security Trust Funds and various federal retirement trust funds. (The Social Security and other trust funds, by law, invest all of their surpluses in nonmarketable Treasury securities.) While a lot of political attention is paid to the debt ceiling, many economists view Debt Held by the Public as more significant economically than Gross Federal Debt, because Debt Held by the Public reflects the total amount the Federal government is borrowing from the private credit markets—with the implications that has for available credit.

The Dance between the Unified Budget and Social Security A fact that causes immense confusion both inside and outside Washington is that Social Secu- rity is—technically—excluded from budget totals and considered to be “off-budget.”24 In 1967, President Johnson’s Commission on Budget Concepts25 decided that the most meaningful way to develop fiscal policy is with a “unified budget” that looks at the impact of total Federal spending and revenues on the economy. The principal objective of the unified budget, in their view, was to present a comprehensive picture of the full range of Federal activ- ities. This permits policymakers to gauge the full fiscal effect of Federal activities on the econ- omy. For example, many economists believe large Federal deficits, and the accompanying 02_9part.qxp 11/19/07 7:28 PM Page 84

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Federal borrowing needs, drive up interest rates and ultimately slow down economic growth. (For a discussion of whether Federal deficits matter, see Part VI.) However, during the early 1980s, the Congress enacted Social Security legislation that, in part, set the Social Security program on a path designed to bring in significant annual Social Security surpluses for about 30 years, the purpose of which is to build up a huge “Social Secu- rity Trust Fund” to pay for the benefits of baby-boomers who will begin retiring around 2010.26 This means that for the past 25 years, Social Security payroll tax receipts have far exceeded Social Security payments, yielding significant Social Security surpluses. Because the unified budget consists of total Federal spending and revenues, including Social Security spending and revenues, Federal policymakers—budget “hawks” in partic- ular—began to argue that these large and temporary annual surpluses in the Social Secu- rity program would have the effect of “masking” non–Social Security deficits—sometimes called “structural” (or ongoing) deficits. So, in 1985, the Balanced Budget and Emergency Deficit Control Act provided for the removal of the Social Security Trust Funds from the Federal Budget—and the previously unified budget was split into “on-budget” (non–Social Security) totals and “off-budget” (Social Security) totals. Social Security was now to be “off-budget,” and everything else would be referred to as “on-budget” spend- ing and revenues.27 Nevertheless, despite the legal requirement that Social Security surpluses not be included in the Budget, policymakers in both the Administration and Congress have con- tinued to use unified budget numbers—alongside the legally required on-budget and off- budget numbers. The reason is simple: as reflected in Table 2-9.1, as long as Social Security is running surpluses, unified budget deficits are a lot smaller than on-budget (non–Social Security) deficits. For example, in FY 2007, the on-budget deficit was $339 billion, whereas the unified bud- get deficit (including the $181 billion of Social Security surpluses for that year) was 163 bil- lion.28 Table 2 gives additional examples of how the inclusion or exclusion of Social Security—due to its ongoing surpluses—has a major impact on deficit numbers. There was, however, a short period of time when policymakers focused on non–Social Security, rather than unified budget totals. This was during the brief period of time—FY 1999 and 2000—when the Federal government was running a non–Social Security (i.e., “on-bud- get”) surplus. With the existence of non–Social Security surpluses, both political parties began vigorously debating how to safeguard Social Security surpluses in so-called “lock boxes” that would ensure that Social Security surpluses would “never again be spent on anything other than Social Security.” The truth is, however, that the proposed Social Security “lock-box” mechanisms would have had no practical effect. The reason is that by law, all Social Security surpluses are required to be invested in Federal bonds (because they are a safe investment). Therefore:

• When there is a non-Social Security deficit, Social Security Trust Fund surpluses, because they are invested in Federal bonds, lend funds to the Treasury to cover costs of non-Social Security programs; and • When there is a surplus, as we had in Fiscal Years 1998 through 2001, the Social Secu- rity Trust Fund surpluses, pay down accumulated Debt Held by the Public. 02_9part.qxp 11/19/07 7:28 PM Page 85

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TABLE 2-9.1: Revenues, Outlays, Deficits, Surpluses, and Debt Held by the Public (billions of dollars rounded to the nearest billion) On-Budget Social End-of-Year Fiscal Unified Deficit Deficit or Security Debt Held Year Revenues Outlays or Surplus* Surplus Surplus by the Public 1985 734 946 –212 –222 9 1,507 1987 854 1,004 –150 –168 20 1,890 1989 991 1,144 –153 –205 52 2,191 1991 1,055 1,324 –269 –321 54 2,689 1993 1,155 1,410 –255 –300 47 3,248 1995 1,352 1,516 –164 –226 60 3,604 1997 1,579 1,601 -–22 –103 81 3,772 1998 1,722 1,653 69 surplus –30 99 3,721 decline 1999 1,828 1,702 126 surplus 2 surplus 125 3,632 decline 2000 2,026 1,789 236 surplus 86 surplus 152 3,410 decline 2001 1,991 1,863 128 surplus – 32 163 3,320 decline 2002 1,853 2,011 –158 –317 159 3,540 2003 1,783 2,160 –378 –538 156 3,913 2004 1,880 2,293 –413 –568 151 4,296 2005 2,154 2,472 –318 –494 174 4,592 2006 2,407 2,654 –248 –434 185 4,829 200731 2,568 2,731 –163 –339 181 4,993

Source: CBO, Budget and Economic Outlook *Total numbers also include Postal Service. The U.S. Postal Service, like Social Security is also “off-budget”; however, its impact on the total deficit or surplus numbers is relatively minimal.

These financial transactions would have been completely unaffected by any of the so- called “lock-boxes.” In short, Social Security surpluses are already “locked away” in the safest investments possible—U.S. Treasury securities. In recent years, the lock box debate has receded into the background because the Fed- eral government is again running high deficits. Once again, policymakers are routinely using unified budget totals—including Social Security surpluses—in order to make deficits appear lower. However, this masking of the structural non–Social Security deficits will not go on for long, because with the impending retirement of the baby boomers and the consequent increase in Social Security outlays, annual surpluses in the Social Security program will soon disappear (by the middle of the next decade). Ironically, in the postboomer world, politi- cians will be anxious to use non–Social Security (nonunified) budget totals, because annual Social Security deficits (due to arrive in 2017) will make unified budget numbers look pro- gressively worse.30 And so continues the dance between the unified budget and Social Security. 02_9part.qxp 11/19/07 7:28 PM Page 86

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Budget Baselines: The Starting Point for Budgeting To formulate a Federal Budget, the President and the Congress must have a starting point. The starting point is known as a “baseline.” The rules used to establish budget baselines are the source of tremendous confusion, as well as endless partisan finger pointing about “truth- in-budgeting.” The concept of the baseline is simple: what would the budget look like next year without any policy changes. This is generally called the “current services” baseline. Sounds simple enough—until you take a closer look. What about anticipated inflation? If you want current programs to continue providing services without change, you need to build in an inflation adjustment, right? What about entitlement programs or other mandatory spending that is scheduled to expire at the end of this year? Does current policy mean that we assume the program expires or that it continues? And what about expiring tax provisions? Should the baseline assume that the expiring tax provisions continue unchanged or actually expire? (This, in fact, was one of the most hotly contested issues in the budget debate in the spring of 2007.) In 1985, Congress wrote into the law32 the answers to each of these questions: Revenues—Tax laws are assumed to expire as set forth in current law; however, excise taxes dedicated to a trust fund are assumed to be extended. Entitlement programs—Entitlement and other direct spending programs, with estimated current year outlays greater than $50 million, are assumed to continue.33 Discretionary spending—The Congressional Budget Office’s baseline assumes that dis- cretionary spending programs continue with annual adjustments for projected inflation. The Jan- uary and March CBO baselines and the summer update (August or September) baseline also incorporate, and project into the future, any supplemental appropriations already enacted for that Fiscal Year.34 However, this latter rule causes some anomalies in budgetary projections, as explained in the box. The baseline rules have generated considerable political demagoguery. You’ve heard, “Only in Washington would an increase in spending be called a cut.”What this comment usually refers to is one of the following two scenarios: First scenario: Assume that CBO, in its baseline, has said that a particular discretionary spending program that costs $100 million this year will, due to inflation, cost $103 million next year to perform the same functions and deliver the same services. If the President or a congressional committee proposes to spend $101 million on the program, that is regarded as a $2 million “cut” below the baseline level of $103 million since the program will be con- strained to deliver fewer services (taking inflation into account). One could say that the pro- gram is actually being increased (from $100 million to $101 million), but that would not be accurate from the perspective of the current services baseline, which looks at services pro- vided—not dollars. Second scenario (and this one actually happened): The President’s Office of Management Budget projected in January 2006 that Medicare would cost the Federal government $343 bil- lion in FY 2006 and that without any changes in the law, the program would cost $395 billion in FY 2007.35 The expenditures were projected to increase without any changes in the program 02_9part.qxp 11/19/07 7:28 PM Page 87

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Timing and Discretionary Spending Baselines Timing plays an important role in calculating baselines for discretionary spending. A case in point is funding for the Iraq and Afghanistan wars, which (until FY 2008) were largely funded through emergency supplemental appropriations—not through fund- ing requested in the President’s February budget transmittals. For example, consider FY 2007 war funding. In the President’s transmittal of his FY 2007 budget in January 2006, he included only $50 billion for ongoing operations in Iraq and Afghanistan— a number widely viewed as far below actual needs. Congress added $20 billion to the President’s request, appropriating $70 billion in war funding in the FY 2007 regular defense appropriations bill in September 2006. Even though it was apparent to every- one that the President would be requesting substantial supplemental war funding for FY 2007, CBO’s January 2007 baseline based its defense projections and deficit projec- tions on the enacted FY 2007 war funding level of $70 billion. This had the practical effect of “masking” actual defense needs and deficit projections for FY 2007 and later years. As expected, a few weeks after CBO released its January 2007 baseline, the Pres- ident requested an additional $100 billion in war funding for FY 2007 which Congress approved in May 2007. This example illustrates that the timing of the President’s war funding requests—that is, requesting a fraction of anticipated war needs for the regu- lar appropriations process, followed by large supplemental requests—has had the effect, in recent years, of distorting both defense numbers and deficit projections in CBO’s January report.

due to an increasing number of people who are eligible for Medicare benefits, as well as gen- eral health care inflation (i.e., paying more for the same services). The President’s Budget proposal for FY 2007 proposed to “cut” Medicare spending over a period of five years by $36 billion, allowing the program to grow at a rate of 7.7 percent instead of the 8.1 percent projected in the current services baseline. President Bush, in a speech on February 7, 2006, pitched his Medicare reform proposals by saying, “It is the dif- ference between slowing your car down to the speed limit or putting your car into reverse.” The President was correct that even with enactment of his proposed Medicare changes, the actual dollars spent on Medicare would still be higher in FY 2007 than in FY 2006. How- ever, his budget proposal called for a reduction in Medicare services below the current services baseline levels for FY 2007 and beyond. Using the President’s metaphor, his budget proposal would in fact “put the car in reverse” for the people who would lose the services resulting from the proposed Medicare changes. The key point here is that significant cuts in government ser- vices can occur even when actual dollars spent are still going up. There have been proposals, from time to time, to switch government budgeting from a current services baseline to a nominal, or actual, dollars baseline. However, in all likelihood, the Congress would return to a current services baseline because, inevitably, policymakers would ask the fundamental question: if the government continues providing the same level of services next year as we are providing this year, how much is it going to cost? 02_9part.qxp 11/19/07 7:28 PM Page 88

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Budgeting and the Economy: The Debate over Dynamic Scoring

In considering economic behavior, humor is especially important for, needless to say, much of that behavior is infinitely ridiculous.” –John Kenneth Galbraith36

As explained earlier, the budget baseline is a starting point for policymakers. The next step in budgeting is to estimate the impact of proposed policy changes. How would increasing or decreasing budget authority for a particular program impact budget outlays? How would tax cuts or tax increases impact projected revenues? This process of estimating proposed changes in revenue and spending policies is known as “budget scorekeeping” or “scoring.” CBO scores proposed changes in spending programs for congressional consideration, and OMB scores spending proposals for the President. Proposed changes in tax policy are scored for the President by the Treasury Department’s Office of Tax Analysis (OTA) and for the Congress by the Joint Committee on Taxation (JCT)—a joint House-Senate “Committee” that exists to employ a nonpartisan staff of tax experts to analyze and score revenue proposals for the Congress. CBO combines its own spending estimates with JCT’s revenue estimates when reporting to the Congress on the over- all budget and economic outlook, and OMB uses OTA’s revenue estimates when preparing the President’s Budget. A controversial issue in budget scoring is whether—and how—to incorporate the economic effects of spending and revenue proposals. For example, suppose the Congress is considering imposing a luxury tax on boats. The revenue estimators would assess the number of boats sold in the United States in a given year, multiply the number of sales by the proposed tax rate, and come up with an estimate of additional revenues to be raised by the tax. But con- sider this: should the estimators also figure into their analysis a possible drop-off in the num- ber of boat sales as a consequence of the new tax and the more generalized impact that might have on employment or GDP? This would be known as a “dynamic” approach to scoring because it takes into account changes in the economy, rather than the simple mathematics of calculating the tax receipts (which is known as a “static” approach to scoring). Consider another more complex and controversial example. In 2003, the Congress was considering the President’s proposal to cut the tax rate on capital gains. What is normally por- trayed as a static approach to scoring the rate cut would look at the anticipated capital gains “realizations” (i.e., the sale of capital gains) and the aggregate dollar amount of the gains, and determine the revenue loss associated with lowering the tax rate on those gains. A dynamic approach, by contrast, would integrate into the scoring an analysis of whether the lower tax rate would increase economic activity (often called the “feedback effect”) and whether the increased activity would increase gross domestic product (GDP), employment, taxable income, and federal tax receipts (thereby partially offsetting some of the revenue loss attributable to the tax rate cut). Not surprisingly, supporters of the capital gains cut favored a dynamic approach to scoring the proposed rate reduction, and opponents of the cut favored a static approach. Unfortunately, the ongoing debate over dynamic versus static revenue scoring has over- simplified and mischaracterized current scoring practices. The current misimpression is that revenue estimators at OTA and JCT generally use a purely static approach. In actuality, the current practice of revenue estimators lies somewhere between static and dynamic. For exam- ple, in the 1990s, when scoring the effect of the proposed luxury tax on boats, estimators did 02_9part.qxp 11/19/07 7:28 PM Page 89

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take into account a projected reduction in boat sales as a consequence of the tax.37 (This type of analysis, focusing on the impact of the proposed tax change on individual economic activ- ities, is known as microeconomics.) However, the revenue estimators did not analyze how a contraction in this particular industry might impact the economy more generally (an area of study called macroeconomics). The current practice is therefore not static (because micro- economic factors are considered) but also not fully dynamic—which would require highly complex and controversial macroeconomic analysis. In recent years, there has been an ongoing, vigorous debate in Washington about whether revenue estimators should move to a more dynamic scoring approach in estimating tax cuts. Proponents argue that proposed policy changes such as the capital gains rate reduction can- not be accurately assessed unless dynamic macroeconomic effects are incorporated into rev- enue estimates. However, opponents argue that (1) incorporating macroeconomic effects of major tax proposals would be extremely complex and achieving consensus among estimators would be elusive; and (2) dynamic scoring, with its numerous assumptions about macroeco- nomic activity, could result in underestimating revenue losses, risking higher deficits. In addition, opponents of dynamic scoring point out that consistency would require using dynamic scoring on the spending side of the budget. This could result in underestimating the cost of proposed changes in spending programs. For example, a significant increase in defense spending could be projected to cause a quantifiable increase in general economic activity, accompanied by increases in taxable income and higher Federal tax revenues. The higher Fed- eral tax revenues would then be applied as an offset, causing the estimated net budgetary costs of the projected spending to decrease. Efforts to incorporate dynamic scoring into the budget process have been increasing. In February 2006, the President’s FY 2007 Budget proposed creation of a Division of Dynamic Analysis within the Department of Treasury. In July 2006, the Treasury Department released “A Dynamic Analysis of Permanent Extension of the President’s Tax Relief.”38 A dynamic analysis of the recent tax cuts was also included in OMB’s 2006 Mid-Session Review of the Budget.39 And in February 2007, the President’s FY ’08 Budget included a dynamic analysis of how the tax pro- posals would affect the economy. It remains to be seen whether the proliferation of dynamic “analyses” will translate into the actual use of fully dynamic scoring in the budget process. The only certainty is that this arcane and complex debate will continue because the stakes are very high. The revenue estimates associated with tax cuts or increases, and the spending estimates associated with Federal program changes, frame the debates on a wide range of crit- ically important public policy issues. Recommended Sources for More Information on Dynamic Scoring • Debate in the Ripon Forum, April/May 2006: “Dynamic Scoring: The Time Is Now,”by William Beach (Heritage Foundation); and “Dynamic Scoring: Not So Fast!” by Rudolph Penner (Urban Institute and former CBO Director). • Testimony from a House Budget Committee Hearing on “Dynamic Estimating,”September 13, 2006, which can be accessed at www.budget.house.gov/hearings.htm. • CRS: Issues in Dynamic Revenue Estimating," by Jane Gravelle, April 26, 2007; “Comments on the Treasury Dynamic Analysis of Extending the Tax Cuts,”by Jane Gravelle, July 27, 2006. • Alan J. Auerbach, University of California, Berkeley, “Dynamic Scoring: An Introduction to the Issues,” Journal of Economic Perspectives, January 2005. 02_9part.qxp 11/19/07 7:28 PM Page 90

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• Joint Committee on Taxation, U.S. Congress, “Exploring Issues in the Development of Macroeco- nomic Models for Use in Tax Policy Analysis,”June 16, 2006.

Notes 1. President George W. Bush delivers 2007 State of the Union Address Tuesday, Jan. 23, 2007, at the U.S. Capitol.”White House photo by Shealah Craighead. 2. U.S. Constitution, Article II, Section 3. 3. Article I, Section 9, of the Constitution provides that “No Money shall be drawn from the Trea- sury, but in Consequence of Appropriations made by Law.” Article I, Section 8, of the Constitution pro- vides that “the Congress shall have Power to lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States . . . (and) to borrow Money on the Credit of the United States.” 4. Lewis D. Eigen and Jonathan P. Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 25. 5. U.S. Senate, Committee on Finance, Program Descriptions and General Budget Information for FY 1995, S. Prt. 103-80, 103d Congress, 2d Session, p. 128, uncredited author: Charles S. Konigsberg, Gen- eral Counsel. 6. Concurrent resolutions of Congress are not laws and are not presented to the President for sig- nature. Rather, they are internal guidelines the Congress sets for its own legislative operations—in this case, legislative action on appropriations and tax laws that follow adoption of the concurrent resolu- tion on the budget. 7. U.S. Senate, Committee on Finance, Program Descriptions and General Budget Information for FY 1995, S. Prt. 103-80, 103d Congress, 2d Session, p. 128, uncredited author: Charles S. Konigsberg, Gen- eral Counsel. 8. Sandy Streeter, “The Congressional Appropriations Process: An Introduction,”97-684 (Washing- ton, D.C. Congressional Research Service, September 8, 2006), 4. 9. Office of Management and Budget, FY 2007 Analytical Perspectives (Washington, D.C.: Govern- ment Printing Office, 2006), 389. 10. Office of Management and Budget, FY 2007 Historical Tables (Washington, D.C.: Government Printing Office, 2006), 135. 11. U.S. Senate Budget Committee, “The Congressional Budget Process: How It Works,” S. Prt. 99-74 (Washington, D.C.: August 1985), 10, uncredited author: Charles Konigsberg, Staff Attorney. 12. Office of Management and Budget, FY 2008 Historical Tables (Washington, D.C.: Government Printing Office, 2007), 135. 13. The Congressional Budget Process: How It Works, 10. 14. Office of Management and Budget, FY 2008 Historical Tables (Washington, D.C.: Government Printing Office, 2007), 133. 15. U.S. Senator Report 93-688, p. 56. 16. The Congressional Budget Process: How It Works, 10. 17. Office of Management and Budget, FY 2007 Historical Tables (Washington, D.C.: Government Printing Office, 2006), 135. 18. Daniel B. Baker, ed., Political Quotations (Detroit: Gale Research Inc., 1990), 219. 19. U.S. Constitution, Article I, Section 7. 20. U.S. Senate, Committee on Finance, Program Descriptions and General Budget Information for FY 1995, S. Prt. 103-80, 103d Congress, 2d Session, p. 128, uncredited author: Charles S. Konigsberg, General Counsel. 21. Department of the Treasury and Office of Management and Budget, Joint Statement on Fiscal Year 2007, October 11, 2007. 02_9part.qxp 11/19/07 7:28 PM Page 91

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22. “A New Breeze is Blowing,” Time, January 30, 1989. 23. H.J.Res.43, “Increasing the Statutory Limit on the Public Debt,”Public Law No. 110-184. 24. The U.S. Postal Service is also excluded from budget totals on the rationale that it is intended to be operated as an independent business-like entity. 25. U.S. Government Printing Office, Report of the President’s Commission on Budget Concepts (Wash- ington, D.C.: Author, October 1967). 26. All of the surplus funds are, by law, invested in U.S. Treasury securities—deemed to be the safest repository for the funds. However, the practical result of the Social Security Trust Funds buying so many Treasury bonds is that the Treasury has much lower requirements to borrow money by issuing bonds to the public—so that debt held by the public has been artificially held down by the availability of Social Security surpluses to finance non–Social Security government programs. In addition, when the Social Security program begins running a deficit, around the year 2017, the Social Security Trust Funds will need to begin redeeming the Treasury bonds they hold—which will require substantial tax increases or increases in borrowing from the public. 27. The history of moving Social Security “off-budget” is actually a bit more complicated, as follows: 1983: P.L. 98-121, the Social Security Amendments of 1983, including a provision providing for the removal of the Social Security (and the Medicare Hospital Insurance) trust funds from the budget totals beginning in 1993. 1985: P.L. 98-177, the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm- Rudman-Hollings), made the removal effective immediately for Federal Budget totals, but Social Security receipts and outlays continued to be counted for purposes of enforcing deficit targets. 1990: P.L.101-508, the Budget Enforcement act of 1990, took Social Security out of all calcu- lations of the budget totals. See Budget Enforcement Act §13301, 104 Stat. 1388-573, 1388- 673 (1990). Consequently, Social Security was excluded from the PAYGO sequestration process. However, Social Security’s administrative expenses are subject to the discretionary spending caps. U.S. Senate, Committee on Finance, Program Descriptions and General Budget Information for FY 1995, S. Prt. 103-80, 103d Congress, 2d Session, p. 128, uncredited author: Charles S. Konigsberg, General Counsel. The U.S. Postal Service is also off-budget. 28. CBO, The Budget and Economic Outlook: FY s 2007 to 2016, Table F-1, 140. 29. In years such as Fiscal Years 1998 and 2001, when there is a unified surplus that is exceeded in amount by the Social Security surpluses, those surpluses go in part to pay for the budget gap in non–Social Security programs, and the remainder pays down the accumulated debt held by the public. 30. U.S. Government Printing Office, The 2005 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds, 109th Congress, 1st Session, House Document 109-18, 2. 31. Treasury and OMB Joint Statement on Fiscal Year 2007; and CBO Budget and Economic Out- look Update, August 2007. 32. The baseline rules are set forth in Section 257 of the Balanced Budget and Emergency Deficit Control Act of 1985. Although these rules technically expired at the end of September 2006, the CBO opted to continue following the law’s specifications in preparing baseline projections. CBO, “Economic and Budget Outlook,”January 2007, 5. 33. This baseline rule applies to programs established on or before the enactment of the Balanced Budget Act of 1997. Programs established after that are not automatically assumed to continue. CBO, “Economic and Budget Outlook,”January 2006, 6, fn. 7. 34. More specifically, CBO projects growth in discretionary spending as specified in the Balanced Budget an Emergency Deficit Control Act of 1985, using the “GDP deflator and the employment cost index for wages and salaries.”CBO, “The Economic and Budget Outlook,”January 2005, p. xiv. 35. CBO: “The Budget and Economic Outlook: FY s 2007 to 2016,”56. 02_9part.qxp 11/19/07 7:28 PM Page 92

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36. Lewis D. Eigen and Jonathan P.Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan Publishing Company, 1993), 138. 37. Memorandum from the author to Senate Finance Committee Chairman Moynihan, dated November 22, 1994. 38. U.S. Department of the Treasury, “A Dynamic Analysis of Permanent Extension of the President’s Tax Relief,”July 25, 2006. 39. Office of Management and Budget, Fiscal Year 2007 Mid-Session Review, 3-4. See also Jane Grav- elle, Congressional Research Service, “Comments on the Treasury Dynamic Analysis of Extending the Tax Cuts,”July 27, 2006. 03_0intro.qxp 11/19/07 7:36 PM Page 93

PART III

SPENDING: HOW AMERICA SPENDS $3 TRILLION PER YEAR

hree trillion dollars . . . $3,000,000,000,000—that’s how much the Federal government Twill be spending in a single year by FY 2009. It is a number so large it is difficult to truly grasp. And it is a number clouded by political rhetoric and popular myths. For example, sur- veys show that a majority of Americans believe foreign aid spending is over 20% of the bud- get. It is actually less than 1%. This part of the book is designed to give you an overview of how we, as a nation, are spending this gargantuan amount of money each year. The Federal Budget is about far more than numbers. It is about our nation’s priorities— how we defend our nation, enforce our laws, care for our seniors, respond to disasters, build our transportation infrastructure, protect our health and environment, educate our children, and care for the poor and disabled. The following program summaries are not designed to be exhaustive. Rather, the nation’s largest programs are summarized along with prominent small programs, in order to provide a useful overview of how the Federal government is prioritizing our tax dollars.

Note

1. American on Foreign Aid and World Hunger: A Study of U.S. Public Attitudes from Program on International Policy Attitudes, February 2, 2001, [http://www.pipa.org/.

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FIGURE 3.1 Overview of FY 2007 Federal Spending

dnalemoH ytiruceS esnefeD teN tseretnI gnidulcni( %1 %8 tnI lanoitanre )ecnegillletnI sriaffA %12 %1

ytiruceS laicoS ytiruceS yratiliM %02 tnemeriteR %2 & htlaeH snareteV htlaeH & stifeneB %3 diacideM %6

gnidnepS rehtO gnidnepS %42 eracideM %41

Source: OMB, CBO, CRS Note: This pie chart is intended to convey an overview of how Federal spending is distributed among major items. “Other Spending” includes a broad range of mandatory and discretionary spending programs. For a complete breakdown of “other spending,”as well as updated numbers, see www.GovBudget.com.

Note: As this book goes to print, Congress and the President have not reached agreement on appropriations levels for FY 2008 (the new fiscal year that began on October 1, 2007). Therefore, Part III of this book provides FY 2007 appropriations levels for discretionary spending programs; FY 2008 numbers will be posted on www.GovBudget.com when available. FY 2008 spending levels are provided for entitlements and other mandatory spending programs, because they operate on “automatic pilot” unless changed by new leg- islation. (See chapter 2-9 for an explanation of discretionary and entitlement spending.) 03_1part.qxp 11/20/07 10:26 AM Page 95

CHAPTER 3-1

Defense (and Intelligence) Spending: From “Peace Dividend” in the 1990s to Rapid Growth Since 2000

A certain degree of preparation for war . . . affords also the best security for the continuance of peace.—James Madison1

FY 2007 Defense Spending: $631 billion2 21% of Federal Spending

See www.GovBudget.com for updated numbers

he major political changes that swept across Eastern Europe and the former Tin the late 1980s, along with domestic pressure to bring down record deficits, led to a sig- nificant downsizing of the U.S. armed forces in the 1990s. Military personnel levels dropped from 2.1 million in 1988 to 1.4 million in 1998. During the 1990s, defense discretionary spend- ing declined by 27% after adjusting for inflation (see figure 3-1.1).3 This reduction in spend- ing was described at the time as a “peace dividend.” However, the peace dividend was short-lived. Since FY 2000, the defense budget has dou- bled in dollar terms.4 Even after adjusting for inflation, defense outlays have increased by more than 50%.5 This chapter explores the factors that have driven the rapid growth in defense spending since 2000. In a Nutshell The national defense budget6 includes the military activities of the Department of Defense (DoD) and the nuclear weapons activities of the Department of Energy (DoE). Programs include operations and maintenance, military pay and benefits, procurement of ships, planes, tanks, satellites, missiles and other weapons, research and development, construc- tion of military housing and other facilities, and all nuclear weapons activities including

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FIGURE 3-1.1. Defense Spending, FY 1990–2008 Defense spending declined in 1990s due to end of Cold War and deficit reduction agreements; defense spending doubled over FY 2000–2007

600

500 Budget Authority (billions) 400 300 200 100 0 Fiscal Years 1990–2007

research, development, maintenance, clean-up, and nonproliferation.7 The breakdown of these expenditures is reflected in table 3-1.1. Two terms that recur frequently in defense policy are the “QDR,” the congressionally man- dated Quadrennial Defense Review, which is a long-term planning document, most recently published in February 2006; and defense transformation, a term initiated by Defense Secre- tary Donald Rumsfeld at the beginning of the Bush Administration referring to the belief that our national defense would be best served by transforming U.S. forces into smaller, more agile units that can be more easily deployed.8

TABLE 3-1.1: How Defense Dollars Are Spent (FY 2007 Budget Authority Including Supplemental)

Category of $ in % of Spending Description billions total Operations and Equipment operating costs; recruiting and 243* 39* Maintenance* training; base operations; facilities maintenance; utilities; civilian labor; travel; logistics services; Defense Health Program (the TRICARE System for active duty, dependents, and retirees under 65); drug interdiction; Nunn-Lugar Cooperative Threat Reduction Program Military Basic and Special Pay; allowances for food, clothing, 133* 21* Personnel* and off-base housing; recruitment and retention bonuses; DoD contributions to: military retirement9, Social Security, and the Medicare-Eligible Retiree Health Care Fund 03_1part.qxp 11/20/07 10:26 AM Page 97

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Category of $ in % of Spending Description billions total Procurement Acquisition of aircraft, tanks, ships, combat vehicles, 131 21 satellites/launch vehicles, weapons, ammunition, and missiles Research, Basic research for all branches of the military, as 77 12 Development, well as the development of prototype weapons Testing and and equipment Evaluation Atomic Energy DoE’s National Nuclear Security Administration 17 3 (Nuclear) oversees nuclear weapons maintenance and Defense development, naval reactors, and nuclear Activities nonproliferation through detection, preventing the spread of technologies and securing inventories; Also includes environmental clean-up, waste disposal, and compensation for radiation exposure Military Training facilities, office buildings, barracks, facilities 13 2 Construction for new weapons systems, upgrading existing facilities, Base Realignment and Closure (BRAC), U.S. share of NATO facilities Family All costs associated with construction, improvements, 4 0.6 Housing operations, maintenance and leasing of military family housing Other Includes the National Defense Stockpile, Pentagon 13 2 maintenance and protection, national defense sealift, defense logistics agency, and defense commissary. TOTAL Total for “Budget Function 050.”In the budget 631 100 DEFENSE world, this is generally regarded as “total” defense spending. This amount includes funding for Iraq and Afghanistan and other Global War on Terror operations.

*Note: Most of the $44 billion in national intelligence spending is hidden within the accounts of the defense budget, most likely concentrated in O&M and Personnel. Consequently we do not know the true level of expenditures on those categories of national defense.

In addition to the $631 billion spent on national defense (and intelligence) in FY 2007, other defense-related expenditures include: $44 billion for Federal payments to military retirees and survivors10; $8 billion for the TRICARE for Life program which provides supplemental 03_1part.qxp 11/20/07 10:26 AM Page 98

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medical coverage for military retirees; and $80 billion for veterans benefits (reviewed in detail in chapter 3-3). Including these defense-related expenditures, total defense-related spend- ing was $763 billion in FY 2007.

Background Sorting through the Gaggle of Numbers. One of the challenges inherent in explaining the Federal Budget is that budget statistics can be framed in different ways to make seemingly contradictory arguments. For instance, all of the following statements are true:

• Defense discretionary outlays have nearly doubled since FY 2000.11 • After adjusting for inflation, defense discretionary outlays have increased about 50% since FY 2000.12 • As reflected in table 3-1.2, defense discretionary outlays have increased more than 10- fold since 1962. • After adjusting for inflation, the increase since 1962 has been 40%. • Defense discretionary outlays as a percentage of the Federal Budget declined from 49% in 1962 to 17% in 2000, but increased to about 20% in 2007. • As a percentage of GDP, defense has declined from 9.3% in 1962 to 3% in 2000 and 4.1% in 2007.

U.S. Defense Spending Compared with Other Nations. What about defense spending compared with other nations? Is it myth or fact that the United States spends more on defense than any other nation? Once again, it depends how you look at it. According to the most recently available CIA data, the U.S. ranks 27th in terms of defense spending as a percentage of GDP. Twenty-six other countries, including China and Russia, spend a greater percentage of their economy on defense (see table 3-1.3). However, in terms of actual expenditures on defense, the United States far outstrips all other countries—spending nearly half of the world’s entire defense expenditures. What do all these numbers tell us? The United States is not spending an inordinate amount on defense when looking at expenditures as percentages of GDP or the Federal Bud- get. However, percentage figures are not the most revealing measures of defense spending for

TABLE 3-1.2: Defense Spending Is 40% Higher Than at the Height of the Cold War13 Defense Outlays in Billions of Dollars

Outlays Adjusted for Inflation FY Defense Outlays Outlays (Constant FY 2000 Dollars) 1962 defense outlays 53 317 2000 defense outlays 295 295 2007 defense outlays (projected) 569 444 Source: Office of Management and Budget, Executive Office of the President 03_1part.qxp 11/20/07 10:26 AM Page 99

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TABLE 3-1.3: U.S. Accounts for Close to One-Half of the World’s Total Military Expenditures

FY 2005 Military Expenditures Rank (in US $ at Rank Military among constant 2003 among Expenditures All prices and All (% of Countries Country exchange rates)* Countries Country GDP)† 1 United States 478 5 Saudi Arabia 10.0 2 United Kingdom 48 7 Israel 9.0 3 France 46 21 Russia 4.8 (’02)‡ 4 Japan 42 23 China 4.3 5 China 41 27 United States 4.1 (OMB) 6 Germany 33 50 Australia 2.5 7 Italy 27 53 South Korea 3.0 8 Saudi Arabia 25 55 France 2.6 9 Russia 21 58 India 2.7 10 India 20 62 United Kingdom 2.4 11 South Korea 16 77 World Average 2.00 12 Canada 11 89 Italy 1.8 13 Australia 11 107 Germany 1.5 14 Spain 10 127 Spain 1.2 15 Israel 10 129 Canada 1.1 WORLD 1,001.00 135 Japan 0.9 *Source: SIPRI (Stockholm International Peace Research Institute), http://www.sipri.org/contents/ milap/milex/mex_major_spenders.pdf. †Source: https://www.cia.gov/cia/publications/factbook/geos/sa.html (accessed 05/12/07). ‡Source: International Institute for Strategic Studies.

two reasons. First, the United States has a larger economy than any other nation.14 Second, the overall size of the Federal Budget has increased dramatically over the last four decades, due principally to entitlement spending. Given this explosion of nondefense spending, his- torical trends on defense as a percent of the total budget are misleading. A better measure of defense spending is actual dollars appropriated. Using this metric, as noted earlier, defense appropriations have more than doubled since 2000. The major factors driving the rapid increase in the defense budget are examined next.

Major Issues Issue 1: The Escalating Cost of the War in Iraq. The potential budgetary costs of the Iraq war were grossly underestimated in the lead-up to the invasion, as reflected in the following statements. 03_1part.qxp 11/20/07 10:26 AM Page 100

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UNDERESTIMATING THE COSTS OF THE IRAQ WAR • On September 15, 2002, White House economic advisor Lawrence Lindsey estimated the upper limit on the cost to be $100 to $200 billion.(Wall Street Journal, “Cost of Iraq War,”September 15, 2002) • In January 2003, White House Budget Director , in a prewar interview with , significantly downgraded the estimated total war cost to $50 to $60 billion, saying that Lindsay’s earlier estimates were too high. According to the Times, “Mr. Lindsey was criticized inside and outside the administration for putting forth such a large number, which helped pave the way for his ouster earlier this month.”(New York Times interview by E. Bumiller, reported January 2, 2003) • ABC’s This Week interview of Defense Secretary Donald Rumsfeld on January 29, 2003: Rumsfeld: The Office of Management and Budget estimated it would be something under $50 billion. George Stephanopoulos: Outside estimates say up to $300 billion. Rumsfeld: Baloney. • March 27, 2003: One week after the invasion, Deputy Defense Secretary Paul Wol- fowitz suggested Iraqi oil revenues would largely cover post invasion costs: “There’s a lot of money to pay for this that doesn’t have to be U.S. taxpayer money, and it starts with the assets of the Iraqi people....The oil revenues of that country could bring between $50 and $100 billion over the course of the next two or three years....We’re dealing with a country that can really finance its own reconstruction, and relatively soon.”(Testimony before the House Committee on Appropriations, emphasis added)

As displayed in table 3-1.4, the nonpartisan Congressional Budget Office estimates the budgetary costs of U.S. operations in Iraq and the war on terrorism exceeded $600 billion by the end of FY 2007, and will reach nearly $800 billion in FY 2008 if the President’s request is fully funded.15 The costs are significantly higher if one includes debt service due to additional Treasury borrowing. A recent analysis suggests that enactment of the Administration’s FY 2008 request for Iraq war funding would make the Iraq war the second-most costly in U.S. history, exceeding the costs of the Vietnam and Korean wars (adjusted for inflation).16

Long-Term Budgetary and Economic Costs Could Top $2 trillion. The current military costs of the war are only the tip of the proverbial iceberg. A study by Nobel laureate econo- mist Joseph Stiglitz at Columbia University and Harvard economist Linda Bilmes, released in January 200617 and updated in November 2006,18 estimates long-term budgetary costs for the Iraq war exceeding $1 trillion and total budgetary and economic costs exceeding $2 trillion.19 According to Stiglitz and Bilmes :

The full costs of the war are still largely hidden below the surface. Our calculations include not just the money for combat operations but also the costs the government will have to pay 03_1part.qxp 11/20/07 10:26 AM Page 101

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TABLE 3-1.4: Estimated War-Related Funding, Iraq and Afghanistan

(CBO estimates in billions of dollars of budget authority)

President’s President’s FY 2001–2008 FY 2001– FY 2008 FY 2008 Enacted FY 2007 Budget Supplemental and enacted Request Request* Requested Military Operations —Iraq 368 —Afghanistan 165 and other —Subtotal 533 137 51

Indigenous Security Forces —Iraq 19 —Afghanistan 11 —Subtotal 30 5

Diplomatic Operations & Foreign Aid —Iraq 25 —Other 14 —Subtotal 39 3

Veterans Benefits and Services —Iraq —Other —Subtotal 3 TOTAL $604 billion 145 51 $798 billion *Supplemental requests in July and October 2007 Source: Congressional Budget Office, 10/24/07

for years to come. These include lifetime health care and disability benefits for returning vet- erans and special round-the-clock medical attention for many of the (thousands of) Amer- icans who have already been seriously wounded. We also count the increased cost of replacing military hardware because the war is using up equipment at three to five times the peace- time rate. In addition, the military must pay large reenlistment bonuses and offer higher benefits to reenlist reluctant soldiers.20 On top of this, because we finance the war by bor- rowing more money (mostly from abroad), there is a rising interest cost on the extra debt.21

Other prominent economists have projected total budgetary and economic costs at $1 tril- lion or less, arguing, for example, that the military costs of containing Saddam Hussein prior to 2003 should be deducted from the war costs.22 03_1part.qxp 11/20/07 10:26 AM Page 102

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Whether one is persuaded by estimates of $1 trillion or the Stiglitz-Bilmes projections of more than $2 trillion, there is general agreement that the initial projections of war costs were grossly underestimated, and by FY 2008 the direct costs of the Iraq war will make it the sec- ond costliest war in U.S. history.

A “Deficit-Financed” War. The budgetary costs of the war are “hidden” in another way. The United States is financing the war through borrowing, shifting the costs to future generations. A recent CRS report observed that the Iraq war “is not financed through higher tax revenues or lower non-military outlays. Therefore, the war can be thought to be entirely deficit financed. As opposed to past conflicts where taxes were raised, taxes were cut in 2003.”23 (emphasis added)

Myth: The amount of U.S. reconstruction and security assistance to Iraq is still far less than the massive aid provided to Germany and Japan following World War II.

Fact: According to a January 2007 report by CRS: “Total U.S. assistance to Iraq thus far is about a fifth more than total assistance (adjusted for inflation) provided to Ger- many—and somewhat more than double that provided to Japan—from 1946–1952.”24

Issue 2: Iraq War Generates Troop Increases, Following Post–Cold War Troop Reductions. Throughout the Cold War, U.S. active duty forces never dropped below 2.0 million (peaking at more than 3.5 million during the Korean and Vietnam Wars). However, after the Cold War, from 1989 to 1999, troop strength dropped from 2.1 million to 1.4 million, where it has remained (see table 3-1.5).

TABLE 3-1.5: Department of Defense Active Duty Personnel Level, FY 1950–2003 1950 1,459 1964 2,688 1978 2,061 1992 1,808 1951 3,249 1965 2,656 1979 2,024 1993 1,705 1952 3,636 1966 3,094 1980 2,050 1994 1,610 1953 3,555 1967 3,377 1981 2,082 1995 1,518 1954 3,302 1968 3,548 1982 2,108 1996 1,472 1955 2,935 1969 3,460 1983 2,123 1997 1,440 1956 2,806 1970 3,065 1984 2,138 1998 1,406 1957 2,795 1971 2,714 1985 2,151 1999 1,386 1958 2,600 1972 2,322 1986 2,169 2000 1,384 1959 2,504 1973 2,252 1987 2,174 2001 1,385 1960 2,475 1974 2,161 1988 2,138 2002 1,387 1961 2,483 1975 2,127 1989 2,130 2003 1,390 1962 2,808 1976 2,081 1990 2,069 1963 2,700 1977 2,073 1991 2,002 Sources: FY2001-FY2003 from Office of Management and Budget, Budget of the United States government for FY2003; Appendix, February 2002; FY1950-2000 from Under Secretary of Defense Comptroller, National Defense Budget Estimates for FY2002, June 2001. 03_1part.qxp 11/20/07 10:26 AM Page 103

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In a 2007 report to Congress, CRS observed, “Expectations that military require- ments would diminish, however, were not realized; U.S. forces deployed to new missions in . . . the Persian Gulf, Somalia, Haiti, the Balkans and . . . Afghanistan. . . . . The most recent experience of Operation Iraqi Freedom suggests that U.S. ground forces are stretched thin.” 25 While there is little consensus on the wisdom of the Iraq invasion, and even less on how and when to disengage and redeploy, the conflict has generated considerable support in the Congress and the Administration on increasing the size of the Army and Marine Corps. The Administration temporarily added 30,000 troops in January 2004 and proposed in January 2007 to permanently increase the size of the active-duty Army by 65,000 personnel (to 547,400) and the Marine Corps by 27,000 personnel (to 202,000).26 According to CRS, this proposal to increase permanent “end strength” of the two services by 92,000 has been “justi- fied largely by the need to reduce the frequency of deployment for any one unit”27 – an issue of increasing concern as the Iraq engagement continues.28 The growth in personnel to the recommended permanent levels would occur over a five- year period. The Administration plan would also increase the Army Reserve and National Guard by a combined 9,200 personnel and would reallocate additional military personnel from overhead functions to the operational force. CBO has estimated the costs of implementing the plan at $108 billion over fiscal years 2007–2013, relative to levels projected in the Quadrennial Defense Review.32 Annual costs for the permanent increase in personnel would be about $14 billion per year including $6.9 bil- lion for pay and benefits, $5.2 billion for operation and maintenance, and the remainder for health care, retiree health care, family housing, and procurement.33

HAVE THE GUARD AND RESERVES BEEN STRETCHED TOO THIN? There are five military reserve components that are purely Federal entities—the Army Reserve, Navy Reserve, Marine Corps Reserve, Air Force Reserve, and Coast Guard Reserve—and are generally referred to as the “Reserves.”By contrast, the Army and Air National Guard components—descended from colonial era militias—are both Federal and state entities that can be called to duty by the governors or by the President for state active duty or Federal active duty, respectively. State duty typically includes responding to disasters and civil disorders; Federal duty has, recently, included service in Iraq. From the end of World War II until 1990, the reserves were activated by the Fed- eral government only four times. Since 1990, however, reservists have been activated six times.29 As of the end of FY 2006, there were 1.1 million men and women serving in the “Ready Reserve,” the primary manpower pool of the seven reserve components.30 Between 2001 and 2006, about half of the ready reserve had been involuntarily activated for operations in Iraq, Afghanistan, and protecting military installations from terror- ism. “The continuing mobilization of reservists to participate in these operations,” observes CRS analyst Lawrence Kapp, “lends further support to the idea that the Reserve Component has been transformed from a ‘force of last resort’ in the Cold War era into an integrated part of the military services in the post–Cold War era.”31 03_1part.qxp 11/20/07 10:26 AM Page 104

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In light of these substantial costs, it is significant that the director of the GAO’s Defense Capabilities and Management unit testified to Congress shortly after the Administration pro- posed the personnel increase that the “DoD has not clearly demonstrated the basis for mili- tary personnel requests.”34

Issue 3: Overseas Basing and U.S. Commitments to NATO and South Korea. A significant factor in the defense budget is the more than 350,000 U.S. troops deployed around the world on a variety of missions. As reflected in table 3-1.6, these missions include active military oper- ations, stabilization and reconstruction, strategic deployment, and peacekeeping.

Burden sharing and the U.S. commitment to NATO. Since 1949, the United States has com- mitted itself to defending its European allies in the North Atlantic Treaty Organization (NATO), declaring that it would consider any attack on its NATO allies to be an attack on the United States. But some have asked over the years whether the United States has borne an unfair share of NATO’s costs—often referred to as the “burden sharing” issue. According to a 2001 report by CBO, “over the past 50 years, the United States has maintained as many as 300,000 military personnel in Europe and has consistently devoted more of its gross domestic product (GDP) to defense than have most of its allies. With the end of the Cold War and the demise of the Soviet threat, the U.S. cut its force presence in Europe to about 100,000…but the European allies have also cut their defense spending . . . leaving the U.S. still bearing the largest financial burden among the NATO allies.”46 Pro- posals are currently under consideration for additional reductions and redeployments in Europe. At the same time, efforts are being made to enhance NATO’s joint capabilities. In 2004, NATO announced that a Chemical/Biological, Radiological, and nuclear defense battalion had become fully operational. In 2006, the allies launched a NATO Response Force (NRF) with 20,000 troops, on rotation from Member nations for rapid response to a variety of military and humanitarian crises.

TABLE 3-1.6: Major Overseas U.S. Troop Deployments Location Number of TroopsDeployed Mission Iraq 162,000 troops plus 20,000 Original mission: remove Saddam Hussein support personnel35 who was believed to have weapons of mass destruction. With the removal of Saddam, the U.S. presence became a “stabilization and reconstruction operation.”36 Europe 98,000* (when not deployed Forces in the U.S. European Command elsewhere)37 maintain readiness to support NATO security missions as discussed below. Japan 53,00038 The deployment in Japan is the anchor of U.S. security strategy in East Asia. Current security concerns in the region: N. Korea. Potential concerns: China. 03_1part.qxp 11/20/07 10:26 AM Page 105

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Location Number of TroopsDeployed Mission Afghanistan 28,00039 2 missions: U.S. Operation Enduring Freedom and NATO-led peacekeeping, both intended to prevent the Taliban40 from returning to power and to support the current democratically elected government. South Korea Less than 30,000; will be Mutual Defense Treaty, although strategic reduced to less than 20,000 interests have been diverging as discussed by 2008. below. Kosovo 1,700 U.S. troops serving in The NATO-led Kosovo Force, or KFOR, KFOR, down from a peak deployed in the wake of a 78-day air of 5,500. campaign launched by NATO in March 1999 to halt the massacre of ethnic Albanians by Yugoslav/Serb forces under Slobodan Miloseviç.41 Djibouti42 1,500 (military and civilian Operations against Al Qaeda and other (northeast personnel at Camp Lemonier) terrorists operating in the region. A new coast of the U.S. Africa Command will also address Horn of Africa’s growing strategic importance Africa) having surpassed the Middle East as the largest supplier of oil to the United States, the ongoing presence of terrorist training camps, and ongoing concern about military and humanitarian crises in Africa.43 Egypt (Sinai) 700 serving as the U.S. Monitoring the Egypt-Israeli border as contingent of the Multi- provided for in the 1979 Camp David National Force and Observers peace treaty. in the Sinai Peninsula.44 Bosnia & 100 (assigned to NATO Assist in defense reform and operational Herzegovina Headquarters-Sarajevo) tasks such as counterterrorism and supporting the International Criminal Court for the Former Yugoslavia. (In 1995, the United States–facilitated Dayton peace agreement ended an ethnic and territorial conflict that erupted with the dissolution of Yugoslavia.)45 Total U.S. troop levels dropped to about 1.4 million in the 1990s, from a Cold War average of 2.1 million. Troop levels are currently scheduled to increase to 1.5 million by 2012, as noted in the previ- ous section.

*Kosovo and Bosnia deployments not included in the Europe total. 03_1part.qxp 11/20/07 10:26 AM Page 106

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There are also ongoing concerns at the Pentagon that NATO Membership European contributions to NATO missions are often subject (as of 2007) to deployment limitations imposed by member nations, and Belgium, Bulgaria, the capabilities of the NRF could be limited by the European Canada, Czech Repub- Union’s development of its own rapid reaction forces.47 lic, Denmark, Estonia, France, Germany, The U.S. deployment in South Korea. The United States has Greece, Hungary, Ice- dedicated—and continues to invest—resources in the defense land, Italy, Latvia, of South Korea. In a February 2007 report, CRS estimated the Lithuania, Luxem- total cost of stationing U.S. troops in South Korea at nearly $3 bourg, Netherlands, billion per year, with South Korea contributing about $800 Norway, Poland, Portu- million of the cost (although the Pentagon has been pushing gal, Romania, Slovakia, for South Korea to increase its contribution to 50%).48 In Slovenia, Spain, Turkey, addition, DoD has put in place a multiyear $11 billion plan to United Kingdom, modernize U.S. forces in South Korea. United States From the U.S. perspective, South Korea is vital to contain the militaristic—and now nuclear-capable—North Korea. South Korea is also the seventh-largest U.S. trading partner and is strategically located off the east coast of China. The United States suffered over 33,000 killed and over 101,000 wounded in the Korean War (1950–1953). In the 1954 Mutual Defense Treaty, it agreed to defend South Korea from external aggression and until recently maintained about 34,000 troops there to supplement the 650,000 South Korean armed forces. In August 2004, the United States withdrew a 3,600-person brigade from South Korea and sent the troops to Iraq. In addition, in October 2004, the United States and South Korea agreed to a plan for the withdrawal of an additional 12,500 troops by September 2008, reduc- ing overall U.S. troop strength in South Korea to less than 20,000, with the possibility of addi- tional reductions after 2008. The reasons for the troop reductions include: the need for personnel in Iraq; South Korean intentions to end the Combined Forces Command, under which South Korean forces have been under the authority of the U.S. Commander; South Korea’s demand for a right to veto the use of U.S. forces based in Korea in any operations in East Asia; a growing divergence of views between South Korean leaders and the Bush Administration over policies towards North Korea and China; and uneasiness among South Koreans over U.S. encouragement of Japan’s strategic role in Northeast Asia.49

Issue 4: Domestic Base Closures (BRAC)—Short-Term Increases for Long-Term Savings. The major political changes that swept across Eastern Europe and the former Soviet Union in the late 1980s led to the downsizing of the U.S. Armed Forces (see table 3-1.5). Congress initiated in 1988 a reduction in the number of domestic military bases to accompany the force reduc- tions, with the objective of generating long-range annual savings by cutting back on person- nel, and operations and maintenance expenditures. However, as one might expect, individual Members of Congress were likely to vigorously oppose closure of bases in their States and Districts due to jobs that would be lost and the eco- nomic ripple effects. Congress therefore established a process designed to insulate base closure 03_1part.qxp 11/20/07 10:26 AM Page 107

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decisions from political considerations. Congress created a bipartisan Base Realignment and Closure (BRAC) Commission to move the base closure process forward. The Commission was tasked with reviewing Pentagon recommendations and selecting facilities to be closed or down- sized. Under the procedure, if the President approves the Commission’s recommended list of bases to be closed and downsized, the Commission recommendations take effect unless Con- gress enacts a law disapproving the entire list.50 The law establishes special fast-track proce- dures to ensure that disapproval legislation receives expedited consideration by Congress. The initial Commission in 1988 was appointed by the Secretary of Defense, but subse- quent commissions in 1991, 1993, 1995, and 2005 were appointed by the President with Sen- ate confirmation. The presidentially appointed Commissions made recommendations to the President, who, in turn, sent the recommendations and his approval to Congress. Congress voted four times on resolutions to disapprove Commission recommendations, but all of the disapproval resolutions were overwhelmingly defeated.51 Under the first four BRAC rounds, DoD closed 97 major bases and downsized 55 bases, with a 20% reduction in domestic infrastructure and projected long-range budget savings of $6.6 billion per year.52 Under the 2005 round, DoD is slated to close 25 major bases and down- size 32 by 2011, yielding an additional $4 billion in projected long-range annual savings. However, in the short-term the domestic base closure process substantially increases defense spending, particularly for military construction. For example, the FY 2007 emergency sup- plemental appropriations bill53 included $3 billion in additional funds to implement the 2005 round of BRAC closures and downsizing.

Issue 5: Rapidly Accelerating Military Personnel Costs. The costs associated with military personnel have been rapidly increasing in recent years, in particular defense health care and military retirement.

Military health system. The Defense Department is facing rapidly rising health care costs, similar to the explosion in Medicare and Medicaid outlays (discussed in chapter 3-6). Accord- ing to Senate testimony by the Undersecretary of Defense for Personnel and Readiness, mil- itary health spending in FY 2007 is expected to total $39 billion—7.5 % of the defense budget—and is estimated to continue growing rapidly due to (1) health care inflation, (2) the reduction in cost sharing, and (3) a sharp increase in usage by retirees under 65. DoD is esti- mating military health care costs of $64 billion by 2015—12 % of the defense budget.54 This rapid growth in military health costs is causing growing concern among military leaders that health dollars are soaking up funds needed for operations and maintenance.55 The Military Health System (MHS) encompasses the Defense Department’s 75 hospitals, 461 clinics, and 131,000 medical personnel. Their primary duty is to maintain the health of military personnel so they can carry out their military missions. The system also provides, where space is available, health care services to dependents of active duty service members and to military retirees and their dependents. Since space in military facilities was not always available to serve dependents and retirees, in 1966 DoD created the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). CHAMPUS was designed as the military equivalent of a health insurance plan for active duty dependents, military retirees and their dependents, and survivors. CHAMPUS operated as a fee-for-service insurance plan to reimburse civilian providers. 03_1part.qxp 11/20/07 10:26 AM Page 108

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CHAMPUS has now been replaced by TRICARE, which brings together the health care resources of the Army, Navy, and Air Force and supplements them with civilian health care pro- fessionals. The comprehensive TRICARE system—which provides health care to over 9 million people56—offers active duty military (including activated Guard and Reserves57), military retirees, and their families58 three options: (1) a DoD-managed health maintenance organiza- tion, TRICARE Prime, where military treatment facilities are the principal source of Health Care; (2) a preferred provider network, TRICARE EXTRA, where private providers agree to provide care at a reduced cost; or (3) a fee-for-service system, where private providers are reimbursed a percentage of their charges, called TRICARE Standard (based on the CHAMPUS model). Active duty military are automatically enrolled in TRICARE Prime. Their families and retirees may select any of the three options.59 Families of active duty personnel have a higher priority at military medical facilities (under TRICARE Prime) than military retirees. This pri- ority is designed to help them obtain care easily so that active duty members performing mil- itary service do not have to be concerned about health care for their dependents.

TRICARE and Medicare. Military retirees become ineligible to receive TRICARE benefits when they reach 65 and become eligible for Medicare, although TRICARE pays out-of-pocket costs for Medicare Part B—a significant benefit—through a program called TRICARE for Life. The $7.7 billion FY 2007 cost of TRICARE for Life is not included in the “defense” por- tion of the Federal Budget, but because it is a cost of defending the nation, it is included in the aggregation of “defense-related costs” following table 3-1.1.60

TRICARE Reserve Select (TRS). TRICARE was expanded in 2005 to allow Guard and Reserve Members called up for full-time service after 9/11 to “buy into” the TRICARE program 90 days before reporting for duty and for extended periods after returning.61 TRS members pay monthly premiums to cover themselves and can also obtain coverage for their families.

Military retirement. Military retirees are people who have completed a full active duty military career (usually at least 20 years of service) or were disabled in the line of duty

Myth: Military personnel and their families are entitled to free medical care for life.

Fact: Many current and former military say they were promised “free medical care for life” when they signed up. This is not true and appears to be based on the fact that non–active duty military and their families have continuing access to military medical facilities, although on a space-available basis. Nevertheless, TRICARE does provide excep- tional coverage—having “expanded its benefits in recent years, eliminating almost all cost sharing (deductibles and copayments) for active-duty personnel and their family members . . . and adding TRICARE for Life to supplement Medicare coverage for ben- eficiaries over age 65.”In fact, TRICARE benefits compare so favorably with private sec- tor benefits that the Rand Corporation warned in 2005 that “if current trends continue, DoD risks becoming the primary insurer for all of its beneficiaries,”62 notwithstanding other private sector coverage they or their spouses may be entitled to. 03_1part.qxp 11/20/07 10:26 AM Page 109

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and meet certain length of service and extent of disability criteria. (By contrast, a veteran is any person who has served in the armed forces. Military retirees are therefore a subset of veterans.) The military retirement system includes benefits for retirement after an active or reserve military career, disability benefits, and benefits for survivors of deceased retirees. There are currently about 2.1 million military retirees and survivor benefit recipients (plus 6 to 8 million family members who rely on their benefits).63 Expenditures for military retirement are enormous—$44 billion in FY 2007, growing to $50 billion by 2011. Technically military retirement expenditures are included in the “Income Security” portion of the Federal budget—not the “Defense” budget, but because military retirement is a cost of defending the nation, it is included in the aggregation of defense-related costs following table 3-1.1. The expenditures for military retirement are high for several reasons. The first reason is the large number of military retirees. Second, a member of a military service becomes imme- diately entitled to retirement pay upon completion of 20 years of military service, regardless of age—and most retire young. (According to the DoD Office of the Actuary, in 2004 the aver- age nondisabled service member retired from an active duty career at age 41 with nearly 22 years of service.)64 Third, military personnel do not contribute a percentage of salary toward retirement—the reason being that they are already subject to Social Security payroll taxes. Fourth, military retirement benefits are fully protected against inflation through cost–of-liv- ing adjustments. Fifth, military retirement benefits are no longer offset by veterans’ disability compensation; retirees receive both, concurrently. (The issue of concurrent benefits is addressed in chapter 3-2 on veterans’ benefits.)65

Issue 6: Increasing Commitment to Missile Defense Systems. Since the Reagan Administra- tion’s Strategic Defense Initiative (SDI) was announced in the mid-1980s, the Congress has appropriated between $110 and $150 billion for ballistic missile defense programs, making it the largest acquisition program in the defense budget.66 Annual expenditures on missile defense have significantly increased during the second Bush Administration, with appropria- tions increasing from $3.6 billion in FY 2000 to $7.8 billion in FY 2002—with $9.3 billion appropriated for FY 2007.67 Along with increased expenditures, the Administration announced in 2002 U.S. with- drawal from the 1972 Anti-ballistic Missile (ABM) Treaty68 and in 2004 began deployment of 44 ground-based interceptors in Alaska and Hawaii, with plans to deploy up to 132 sea-based interceptors on Navy ships and 10 long-range interceptors in Poland (although as of the G-8 meeting in June 2007, this is a subject of negotiation with Russia).69 Supporters of missile defense systems argue that these steps are necessary because nuclear deterrence can not be relied on in an age when rogue states, such as North Korea and Iran, already have missile delivery systems and are working to build nuclear arsenals.70 Further- more, they believe the collapse of the Soviet Union has increased the possibility of an acci- dental or unauthorized launch.71 Critics argue that missile defense has not been proven,72 withdrawal from the ABM treaty was provocative, plans to place interceptors in Poland may spark a new arms race with Rus- sia,73 and the greatest nuclear threat facing the United States is terrorists who are likely to deliver warheads in cargo containers or vehicles.74 03_1part.qxp 11/20/07 10:26 AM Page 110

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Issue 7: Developing a New Generation of Nuclear Weapons. Contrary to popular assump- tions, the Department of Energy (DoE), not the DoD, directs nuclear weapons research, devel- opment, and production. DoE’s National Nuclear Security Administration spends more than $6 billion per year on research and development of nuclear weapons and close to $800 mil- lion related to naval reactors. In addition, DoE spends more than $6 billion year on defense nuclear cleanup and disposal.75 Despite the end of the Cold War, the United States is several years into a long-term, multi- billion-dollar effort to design and build a new generation of nuclear weapons known as the Reli- able Replacement Warhead (RRW) program. Most warheads in the current stockpile were built in the 1970s and 1980s. The program is currently in the design phase, with plans to start engi- neering development by 2010 and produce the first deployable RRW between 2012 and 2016. However, policymakers and defense analysts continue to debate the wisdom of produc- ing a new generation of nuclear weapons, with critics of RRW arguing that the useful life of existing nuclear warhead stockpiles can be extended for at least several more decades. A key issue underlying the ongoing debate is whether, in light of the nuclear test moratorium the United States has observed since 1992, our nuclear deterrent is more reliable by extending the life of proven warhead technologies or moving forward with deployment of a new generation of warheads.76 (This topic has generated a renewed debate on nuclear testing with the Presi- dent’s FY 2008 Budget stating that the Department of Energy “supports the capability to return to underground testing, if so directed by the President.”) An additional issue is cost, with advocates of RRW arguing that a simplified and uniform design could, over the long term, be less expensive to maintain than the current stockpile (although any savings would have to offset the billions spent on design, development and deployment of new warheads).

Issue 8: Procurement of Weapons Systems, Defense Transformation, and the “Budget Wedge.”

Although DoD has doubled its planned investment in major weapon systems from $750 bil- lion to $1.5 trillion since 2001, unanticipated cost growth has reduced the return on this investment....Given the federal fiscal outlook, what was once a desire to deliver high-qual- ity products on time and within budget has become an imperative. —GAO Comptroller Gen- eral David M. Walker, March 20, 2007 77

There is a broad-based consensus that our national security, and the lives of our troops, depend on cutting-edge technology. However, there is little agreement on what that means in practi- cal terms—that is, which weapons systems to continue procuring, which systems to upgrade, which systems to scrap and replace, which systems are no longer needed, and when strategic or tactical requirements warrant a new approach. These decisions have enormous consequences for our national defense, the lives of our troops, and the allocation of national defense resources. (They are also inextricably interwoven with congressional politics as decisions on major weapons systems can profoundly impact the economies of local communities.) The 2006 Quadrennial Defense Review stated that in addition to traditional threats involv- ing large-scale mechanized forces (as faced during the Cold War), the United States should increasingly prepare for three new types of national security threats: (1) unconventional threats relying on terrorism and guerilla operations; (2) catastrophic threats using weapons of mass 03_1part.qxp 11/20/07 10:26 AM Page 111

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destruction (WMDs); and (3) disruptive threats such as cyber-attacks, bio-attacks, or other types of novel, high-tech attacks.78 Consistent with these new threats, DoD’s defense trans- formation initiative calls for transforming U.S. forces into smaller, more agile units that can be more easily deployed.79 The cost of this transformation falls disproportionately in the area of procurement. The fundamental policy challenges will be to determine whether the tremendous investments that are currently planned are necessary and appropriate to meet actual threats to our nation, and how to shut down existing weapons programs that no longer address evolving defense priorities. For example, some analysts have suggested that the following weapons systems are immensely expensive procurements that are more relevant to the strategic needs of the Cold War, than the new threats highlighted by the QDR:

• The Navy’s DDG 1000 Zumwalt Class Destroyer program ($33 billion); • The F/A 22 Raptor, the most expensive fighter plane ever designed ($339 million per plane—100 already purchased, with plans to acquire another 82), which was originally planned to counter a Soviet fighter that was never built; • The V-22 Tilt-Rotor Osprey aircraft, which has been plagued with safety issues and fatalities since its development began in the 1980s ($110 million per helicopter, $50 bil- lion total); • The tri-service Joint Strike Fighter program (at a total program cost of $224 billion), which, according to GAO, is being fast-tracked into production in 2007 “with little demonstrated knowledge about performance” and only 2 of the plane’s 8 critical tech- nologies fully developed; and • The Army’s “Future Combat Systems” program, a high-tech ground combat system consisting of new armored vehicles, unmanned ground and air vehicles, and sensors that will be integrated into a highly complex system (with $3.7 billion requested for FY 2008 even though only 1 of 48 critical technologies is fully mature, and with a total estimated cost of $132 to $160 billion).80

TABLE 3-1.7: Examples of Cost Overruns and Reduced Purchasing Power on Key Weapons Systems (billions of dollars adjusted for inflation) Percentage Unit Initial Initial Latest Latest Cost Program Estimate Quantity Estimate Quantity Increase Joint Strike Fighter $197 b 2,866 $224 b 2,458 33 % Future Combat Systems $86 b 15 $132 b 15 54 % V-22 Advanced Vertical Lift Aircraft $37 b 913 50 b 458 170 % Evolved Expenditure Launch Vehicle $16 b 181 $29 138 135 % Space Based Infrared System High $4 b 5 $10 b 3 312 % Expeditionary Fighting Vehicle $8 b 1,025 $11 b 1,025 34 % Source: Government Accountability Office, March 2007.82 03_1part.qxp 11/20/07 10:26 AM Page 112

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In addition to realigning procurements with actual and evolving threats to our national security, DoD faces a significant challenge in overcoming enormous cost overruns in pro- curement. The GAO concluded in a March 2007 report to Congress that “while DoD is pur- suing plans to transform military operations and committing more investment dollars to realize these new weapon systems, it regularly realizes a reduced return on their investment. DoD programs typically take longer to develop and cost more to buy than planned, placing additional demands on available funding.”81 Consider the examples presented in table 3-1.7, in particular the percentage unit cost increase to date.

Issue 9: The Intelligence Budget.

Secrecy now beclouds everything about the CIA—its cost, its efficiency, its successes, and its failures. —Mike Mansfield, widely respected and longest-serving Majority Leader of the U.S. Senate83

The total intelligence budget, including the National Security Agency (NSA), Central Intelli- gence Agency (CIA), and 14 other intelligence agencies, was $44 billion in FY 2007.84 The intelligence budget, sometimes referred to as the “black budget,” is being addressed in the defense chapter of this book because most intelligence budget authority is hidden within the accounts of the Defense budget, with the details spelled out in classified annexes to defense appropriations, defense authorization, and intelligence authorization bills. (There is not a separate intelligence appropriations bill, as had been recommended by the 9/11 Com- mission.85) Other departmental budgets that include smaller amounts of intelligence spend- ing are budgets for the Departments of Justice, State, Treasury, Energy, and Homeland Security.86 The two major components of the intelligence budget are (1) the National Intelli- gence Program (NIP)—formerly the National Foreign Intelligence Program or NFIP— which funds foreign intelligence and counterintelligence activities; and (2) the Military Intelligence Program (MIP) which funds the DIA and military intelligence services (see table 3-1.6).87 Director of National Intelligence. Responsibility for preparing and implementing the NIP budget belongs to the Director of National Intelligence (DNI), a new position established on the recommendation of the 9/11 Commission by the Intelligence Reform and Terrorism Prevention Act of 2004.88 Under the 2004 Act, the DNI also assumed two of the three respon- sibilities formerly performed by the Director of Central Intelligence (DCI): (1) providing intelligence to the President and Congress and (2) serving as head of the Intelligence Com- munity. (The former Director of Central Intelligence is now focused exclusively on the oper- ations of the CIA as the Director of the Central Intelligence Agency, or DCIA.) In theory, the budgetary authority of the DNI is significantly stronger than authority pre- viously available to the DCI. In addition to developing the NIP Budget, the 2004 Act gives the DNI authority to apportion the flow of appropriated funds to each of the agencies,89 allot funds for intelligence activities within those agencies, ensure the effective execution of the NIP Budget, reprogram funds, transfer intelligence personnel from individual agencies to joint centers or other agencies, decide on major acquisitions, and provide guidance on DoD intelligence activities not included in the NIP.90 03_1part.qxp 11/20/07 10:26 AM Page 113

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TABLE 3-1.8: The U.S. Intelligence Community’s 16 Agencies Agencies within the Department of Defense are shaded Agency and 2007 Budget Year Established Functions Estimate*

NIP (National Intelligence Program) Budget National Security Agency/ “Signals Intelligence”: intercepts radio, phone, and $6–$8 b Central Security Service other communications; and breaks codes (NSA/CSS), 195293 National Reconnaissance Develops and operates reconnaissance satellites $6–$8 b Office (NRO), 1960 National Geospatial– Precision maps and geospatial data necessary for $2–$3 b Intelligence Agency targeting precision guided weapons (NGA),1996 Defense Intelligence Performs liaison functions between defense and intel. $1–$3 b Agency (DIA), 1961 Central Intelligence Agency Intelligence collection, analysis and covert action $5 b (CIA), 1947 Federal Bureau of Counterterrorism and counterintelligence $1 b Investigation (FBI) Energy Department Intelligence on foreign nuclear programs and $75 m counterintelligence to protect U.S. nuclear secrets Treasury Department Terrorist financing, international money laundering $50 m State: Bureau of Intel. Most of State’s intelligence assets were moved to $51 m & Research (INR) form the CIA in 1947, but State retains a small, highly regarded analytical agency Department of Homeland Directorate of Information Analysis and $10 m Security (DHS/IAIP), 2003 Infrastructure Protection assesses vulnerabilities Coast Guard (part of DHS) Maritime security and homeland defense Drug Enforcement Agency Drug enforcement intelligence

MIP (Military Intelligence Program) BUDGET Estimated DoD spending on defense-wide airborne reconnaissance programs94 $3 b Air Force Intelligence (USAF) Focused on specific tactical needs of the Air Force $6.5–$7 b Army Intelligence Focused on specific tactical needs of the Army $4.5–$5 b Navy Intelligence Focused on specific tactical needs of the Navy and $3 b Marine Corps Total intelligence spending, FY 2007 $44 b

*Because the intelligence budget is classified, the reliability of the estimated break-down cannot be verified. See end note for sources.95 03_1part.qxp 11/20/07 10:26 AM Page 114

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Despite the objective of the 2004 Act to better clarify and rationalize roles and responsi- bilities in the Intelligence Community, Congress failed to resolve ongoing turf battles. Since a substantial portion of NIP funds include the activities of DoD agencies—specifically the NSA, NRO, and NGA as reflected in table 3-1.8—section 2018 of the 2004 Act requires the President to issue guidelines to ensure that the DNI exercises this authority “in a manner that respects and does not abrogate the statutory responsibilities of the heads of” the Office of Management and Budget and Cabinet departments. This proviso was primarily in response to concerns of some Members of Congress that the Defense Secretary not lose authority over agencies within DoD.91 It remains to be seen how this will operate as a practical matter, but initial indications suggest that the turf wars may have actually intensified.92

The need for results-oriented budgeting for intelligence. Is the $44 billion appropriated for intelligence activities being well spent? It is difficult to say, since neither the media nor non- governmental analysts have access to the budgetary details. But the record on major intelli- gence matters should cause serious skepticism, particularly the intelligence community’s colossal failure to uncover the 9/11 plot96 and the failure of intelligence on WMDs in Iraq that paved the road to war.97 Common sense suggests that the vast expenditures on intelligence should have produced far better results. A decade before these failures, Senator Daniel Patrick Moynihan raised similar questions about the value derived from our immense national investment in the intelligence commu- nity: “For twenty five years,”said Moynihan, “the CIA told the President everything there was to know about the Russians except that they were about to collapse.”98 To be fair, we don’t know whether, or how many, attacks on Americans have been thwarted by the direct efforts of the U.S. intelligence community. But the facts that we do know should motivate Congress, the media, and the American public to ask some serious questions about the massive intelligence expenditures and demand public disclosure of at least the top-line total for the various intelligence agencies.

Issue 10: Thinking Outside the Budget Box—Integrating Defense and Homeland Security

The greatest danger of another catastrophic attack in the United States will materialize if the world’s most dangerous terrorists acquire the world’s most dangerous weapons. —9/11 Com- mission99

The Federal Budget continues to treat “defense” and “homeland security” as entirely distinct areas of concern. Each year Congress passes separate defense and homeland security appro- priations bills, and the congressional budget rules do not permit Senators or Representatives to offer amendments on the Senate or House Floors to move money from one category to the other.100 Moreover, our governmental structure in the Executive Branch, as well as the committee structure in Congress, establishes a financial and strategic barrier between defense and home- land security. This artificial distinction is generating some seriously wrongheaded decisions in the allocation of Federal resources for national security. It is urgent that we reshape our thinking and combine defense and homeland security resources into one unified national security budget. 03_1part.qxp 11/20/07 10:26 AM Page 115

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As reflected in the lead-in to this section, the 9/11 Commission determined that the great- est threat facing U.S. national security, in terms of magnitude, is the acquisition of a nuclear weapon by Al Qaeda or other terrorists. According to the Commission, “al Qaeda has tried to acquire or make nuclear weapons for at least ten years....Bin Ladin’s associates thought their leader was intent on carrying out a ‘Hiroshima.’ These ambitions continue....A nuclear bomb can be built with a relatively small amount of nuclear material. A trained nuclear engineer . . . could fashion a nuclear device that would ...level Lower Manhattan.”101 The grave threat of nuclear terrorism to our nation’s defense has been underscored repeat- edly by leading policymakers and the specter of a “mushroom cloud” was explicitly used as one of the key rationales for invading Iraq. Yet the old strategy of nuclear deterrence, dubbed “mutually assured destruction” during the Cold War, is irrelevant in the face of nuclear terror. In the days of the Cold War, we could feel reasonably certain that our massive sea, land, and air-based “nuclear triad” would effectively deter leaders of the Soviet Union from attacking the U.S. or our allies.

The irrelevance of Cold War strategies. Today we face an entirely different threat. Al Qaeda and other fanatical terrorists, are not deterred by threats of nuclear retaliation. Threats of retaliation can deter rogue nations from assisting terrorists, and it might even be used as lever- age to cajole reluctant nations into curbing illegal terrorist activities within their borders, but retaliation is not an effective deterrent against the terrorists themselves—since they are state- less. Moreover, many terrorist leaders and their followers are fanatically committed to suicide in order to advance their extremist world view. Given this new reality, there is a dangerous disconnect between the seriousness of the ter- rorist nuclear threat (and other WMDs) and the allocation of resources in the Federal Bud- get. Out of the $631 billion defense budget summarized in table 3-1.1, less than $2 billion—one-third of one percent—is dedicated to securing loose nukes or nuclear material that could fall into the hands of terrorists. Compare that funding with the $224 billion price tag for the Joint Strike Fighter, the $132 billion cost of the Army’s Future Combat Systems, or the $3.3 billion cost for each of the Navy’s new DDG high-tech destroyers. It is vital for U.S. national security that the Administration and Congress think outside the traditional “budget box” and realign Federal resources to address the gravity of the threats we currently face. An effective strategy would include the following elements:

1. Ramp up resources for securing loose nukes and materials that can be used in developing improvised nuclear devices (INDs). The one-third of one percent of the defense budget102 currently allocated to the National Nuclear Security Administration at the Department of Energy and the Nunn-Lugar Cooperative Threat Reduction Program at the Department of Defense is disproportionately low given the gravity of the nuclear terror threat. 2. Train and deploy numerous rapid response teams dedicated to the task of intercepting loose nuclear materials anywhere in the world, in cooperation with U.S. allies. 3. Dedicate a significant portion of the $44 billion intelligence budget to tracking WMD materials throughout the world. 4. Initiate a high-priority program, on a par with the Manhattan Project, jointly adminis- tered by DoD, DoE, and DHS, to speed the development and deployment of nuclear detection technologies. GAO has been highly critical of the progress thus far.103 03_1part.qxp 11/20/07 10:26 AM Page 116

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5. In addition to preventing nuclear and other WMD attacks, a responsible national secu- rity strategy requires that the Federal government implement comprehensive emergency planning for urban areas, including the stockpiling of effective medical countermeasures.

The same type of analysis can apply to other threats, such as a catastrophic release from chemical plants. In December 2006, the Congressional Research Service reported to Congress that (1) according to the Department of Homeland Security, release of a large volume of chlo- rine could cause thousands of fatalities and injure tens of thousands; (2) in 2000 the Depart- ment of Justice concluded that “the risk of terrorists attempting in the foreseeable future to cause an industrial chemical release is both real and credible”; and (3) in 2005, the Environ- mental Protection Agency had approximately 110 industrial facilities registered, which pro- jected potential off-site consequences to a million or more people in the event of a worst-case chemical release.104 As in the case of the nuclear terror threat, it is reasonable to conclude that national security would be better enhanced by purchasing 7 Navy DDG Destroyers instead of 10 and using the $10 billion saved to harden and secure our nation’s chemical plants. Similar trade-offs would make sense to secure a broad range of U.S. critical infrastruc- ture sites including water and power plants, nuclear plants, ports, bridges and tunnels, trains, and subways. Accomplishing this will require exceptional leadership. Realigning Federal budgets and agencies, and congressional committees, is an enormous challenge in the nation’s capital where budgets, bureaucratic turf, and jurisdictions are jealously guarded. Even more difficult is overcoming the bureaucratic inertia generated by the military- industrial complex that President Dwight D. Eisenhower presciently warned about a half cen- tury ago.105 Canceling or paring back multibillion-dollar weapons systems and redirecting the money to more urgent homeland security priorities will be no small feat, but one of the most urgent matters awaiting the next President.

In the councils of government, we must guard against the acquisition of unwarranted influ- ence, whether sought or unsought, by the military-industrial complex. The potential for the disastrous rise of misplaced power exists and will persist. —President Dwight D. Eisenhower

Notes

1. Lewis D. Eigen and Jonathan P. Sigel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 104. 2. In Part III of this book, all dollar amounts refer to “budget authority” unless otherwise noted. Budget authority is the amount appropriated by Congress in a given year. For a discussion of budget authority and outlays, see chapter 2-9. The defense budget authority number leading off this chapter includes 2007 supplemental funds enacted on May 25, 2007 (H.R. 2206, 110th Congress). 3. Discretionary defense outlays, in constant FY 2000 dollars, declined from $390 billion in FY 1991 to $284 billion in FY 1999. Office of Management and Budget, FY 2008 Historical Tables (Washington, D.C.: GPO, 2007), 134. 4. The defense budget has more than doubled in budget authority from $304 billion in FY 2000 to $625 billion in FY 1007 (adjusted for recent action) (table 5.1) and nearly doubled in outlays from $294 03_1part.qxp 11/20/07 10:26 AM Page 117

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billion to $572 billion.(table 3.2). Office of Management and Budget, FY 2008 Historical Tables (Wash- ington, D.C.: GPO, 2007), 59–60 and 88–89. 5. Defense discretionary outlays, in constant FY 2000 dollars, have increased from $295 billion in FY 2000 to a projected $444 billion in FY 2008. Office of Management and Budget, FY 2008 Historical Tables (Washington, D.C.: GPO, 2007), 134. 6. Reflected in Budget Function 050. For an explanation of budget functions, see chapter 2-9. 7. House of Representatives, Joint Explanatory Statement of the Committee of Conference on S.Con.Res. 21, Concurrent Resolution on the Budget for Fiscal Year 2008, 110th Cong., 1st sess., 2007, H.Rept. 110-153, 26. 8. Transformation as described by Pat Towell in “Foreign Affairs, Defense, and Trade: Key Issues of the 110th Congress,”RL33760 (Washington, D.C.: Congressional Research Service, December 20, 2006), 52. For more information on “Defense Transformation,” see Ronald O’Rouke, “Defense Transforma- tion: Background and Oversight Issues for Congress, RL3228 (Washington, D.C.: Congressional Research Service, April 16, 2007). 9. Public Law 98–94 provided for accrual funding of the military retirement system and for the establishment of a Department of Defense Military Retirement Fund in 1985. The fund has three sources of income: payments from the Military Personnel accounts (reflected here), which cover the accruing costs of the future retirement benefits being earned by today’s service members; interest on investments of the fund in Treasury securities; and payments from the Treasury to cover a portion of the accrued unfunded liability for all the retirees and current members who had earned benefits before the accrual funding system was set up and to cover the liability for concurrent receipt of military retired pay and disability compensation paid by the Department of Veterans’ Affairs (see chapter 3-2). This benefit was added in the 2004 National Defense Authorization Act (P.L. 108–136). Approximately 35% to 40% of military basic pay costs must be added to the DOD personnel budget each fiscal year to cover the future retirement costs of those personnel who ultimately retire from the military. Office of Management and Budget, FY 2008 Budget of the United States, Appendix (Washington, D.C.: GPO), 939. 10. Military retirement payments are disbursed from the Military Retirement Fund, located in the Income Security Function of the Budget, to current retirees. Since FY1985, an “accrual account- ing” system has been used to budget for the costs of military retired pay. Under this system, the DOD personnel budget for each fiscal year includes the estimated amount of money that must be set aside (invested in interest-bearing Treasury securities) to cover future retirement payments for current military personnel; these funds are transferred to the Military Retirement Fund. (See previous note.) The Military Retirement Fund also receives transfers from the Treasury to cover the initial unfunded liability of the military retirement system (i.e., the total future cost of military retired pay that will result from military service performed prior to the implementation of accrual accounting in FY1985). Technically, because retirement benefits are paid to individuals from the Military Retire- ment Fund, and not from the DoD Budget, the Federal Budget shows military retirement outlays as part of the Income Security function of the Federal Budget and not as part of the Defense Budget. However, because payments to military retirees are clearly a cost of national defense, this book includes those payments as “defense-related expenditures.” See also Charles Henning, “Military Retirement: Major Legislative Issues,” IB85159 (Washington, D.C.: Congressional Research Service, March 14, 2006), 5–6. 11. As noted earlier, defense budget authority has more than doubled since FY2000. 12. The President’s Budget (historical table 8.2) shows outlays adjusted for inflation, but not bud- get authority. See chapter 2-9 for an explanation of budget authority vs. outlays. 13. Office of Management and Budget, FY 2008 Historical Tables (Washington, D.C.: GPO, 2007), 133–34. This table shows defense outlays in “constant FY 2000” dollars; that is, it takes actual outlays in FY 2000 and adjusts prior years and subsequent years for inflation, enabling an apples-to-apples com- parison of defense spending in the covered years, 1962 through 2007. 03_1part.qxp 11/20/07 10:26 AM Page 118

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14. The U.S. economy, as measured by GDP, far outstrips any other nation. The top 10 economies, in terms of 2006 GDP (purchasing power parity) are United States, $12.98 trillion; China, $10 trillion; Japan, $4.22 trillion; India, $4.04 trillion; Germany, $2.58 trillion; UK, $1.9 trillion; France, $1.87 tril- lion; Italy, $1.73 trillion; Russia, $1.72 trillion; and Brazil, $1.61 trillion. Central Intelligence Agency, The World Factbook, https://www.cia.gov/library/publications/the-world-factbook/index.html (accessed June 4, 2007). 15. Testimony of CBO Director Peter Orszag before the Committee on the Budget, U.S. House of Representatives, October 24, 2007. See also Amy Belasco, “The Cost of Iraq, Afghanistan, and Other Global War on Terror Operations since 9/11,”RL33110 (Washington, D.C.: Congressional Research Ser- vice, July 16, 2007). 16. Analysis by Steven Kosiak, budget analyst at the Center for Strategic and Budgetary Assessments, as reported by CQ.com, February 5, 2007 (Washington, D.C.: Congressional Quarterly, 2007). See also a comparison of U.S. war costs at http://www.csmonitor.com/2005/0829/p15s01-cogn.html#chart. 17. Linda Bilmes (Kennedy School, Harvard University) and Joseph Stiglitz (Columbia University), “The Economic Costs of the Iraq War: An Appraisal Three Years after the Beginning of the Conflict,” January 2006, http://ksgnotes1.harvard.edu/research/wpaper.NSF/RWP/RWP06-002. 18. The Stiglitz-Bilmes study was updated in the Milken Institute Review, 4th quarter 2006, http://www.milkeninstitute.org/publications/review/2006_12/76_83mr32.pdf. 19. Milken Institute Review, 79. PBS: “Experts Calculate Billions in Long-term Costs of War,” http://www.pbs.org/newshour/bb/middle_east/jan-june07/warcost_05-22.html (accessed May 30, 2007). 20. In 2005, the Army, Army National Guard, and Army Reserve fell short of recruiting goals. Congress responded by increasing the maximum enlistment bonus from $20,000 to $40,000, and DoD increased the number of recruiters. As a result, the active Army met its 2006 recruiting target, however only two of the six reserve components met their targets. Charles Henning,“Military Pay and Benefits: Key Questions and Answers,”RL33446 (Washington, D.C.: Congressional Research Service, January 24, 2007). 21.Linda Bilmes and Joseph Stiglitz, “War’s Stunning Price Tag,” Los Angeles Times, January 17, 2006. 22. Scott Wallsten, AEI-Brookings Joint Center, “The Economic Cost of the Iraq War,” The Econo- mists Voice (2006) http://www.bepress.com/ev/vol3/iss2/art1. Steven Davis, Kevin Murphy, Robert Topel, University of Chicago, “War in Iraq versus Containment,” February 15, 2006, http://faculty.chica- gogsb.edu/steven.davis/research/War_in_Iraq_versus_Containment_(15February2006).pdf. 23. Marc Labonte, “Financing Issues and Economic Effects of American Wars,”RL31176 (Washing- ton, D.C.: Congressional Research Service, October 6, 2006), 15–16. See also: Brian Faler, “Bush Breaks 150-Year History of Higher U.S. Taxes in Wartime,” Bloomberg.com, http://www.bloomberg.com/apps/ news?pid=washingtonstory&sid=aCg_jCpWuAXU. 24. N. Serafino, C. Tarnoff, D. Nanto, “U.S. Occupation Assistance: Iraq, Germany and Japan Com- pared,”RL33331 (Washington, D.C.: Congressional Research Service, January 4, 2007), summary page. 25. Edward Bruner, “Military Forces: What Is the Appropriate Size for the United States?” RS21754 (Washington, D.C.: Congressional Research Service, January 4, 2007), 1. 26.Congressional Budget Office, “Estimated Cost of the Administration’s Proposal to Increase the Army’s and the Marine Corps’s Personnel Levels” (Washington, D.C.: Author, April 16, 2007). As explained by CBO, “military personnel levels are often expressed in terms of ‘end strength,’ which is the maximum number of personnel each of the military services is authorized to have on the last day of the fiscal year” (footnote 1). This growth is compared to the levels proposed in the 2006 QDR, a 4-year planning document. Actual growth is less since the Congress had already authorized and funded on a temporary emergency basis personnel levels above the 2006 QDR recommended levels. 27. S. Daggett et al., “FY 2007 Supplemental Appropriations for Defense, Foreign Affairs, and Other Purposes,”RL33900 (Washington, D.C.: May 2, 2007), footnote 20. 28. Daggett, “Supplemental Appropriations,”44. 03_1part.qxp 11/20/07 10:26 AM Page 119

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29.As members of the Reserves, National Guardsmen (Army and Air National Guard) can be called to Federal active duty in the same way as other reservists. In such an instance, control passes from the Governor to the President. For further information on the Guard and Reserves, see Lawrence Kapp, “Reserve Component Personnel Issues: Questions and Answer,” RL3082 (Washington, D.C.: Congres- sional Research Service, January 26, 2007), 6. 30. Ready Reserve excludes the Retired Reserve and the Standby Reserve (those individuals who have a temporary disability or hardship and those who hold key defense related positions in their civilian lives). Kapp, “Reserve Component Personnel Issues,”3–4. 31. Kapp, “Reserve Component Personnel Issues,”10. 32. QDR can be accessed at http://www.defenselink.mil/qdr/. 33. CBO, “Proposal to Increase the Army’s and the Marine Corps’s Personnel Levels,”1. 34. Statement of Janet A. St. Laurent, Director Defense Capabilities and Management, Government Accountability Office, “DoD Needs to Provide a Better Link between Its Defense Strategy and Military Personnel Requirements,”Hearing before the Subcommittee on Military Personnel, House Committee on Armed Services, January 30, 2007. See also Carl Conetta, “No Good Reason to Boost Army, Marine Corps End Strength,” Briefing Report #20 (Cambridge, MA: Project on Defense Alternatives, Com- monwealth Institute, January 31, 2007). 35. Steve Bowman, “Iraq: U.S. Military Operations,” RL31701 (Washington, D.C.: Congressional Research Service, May 15, 2007), summary page. 36. Nina Serafino, “Peacekeeping and Related Stability Operations: Issues of U.S. Military Involve- ment,”RL33557 (Washington, D.C.: Congressional Research Service, January 24, 2007), 11. 37. Source: http://www.heritage.org/Research/NationalSecurity/troopMarch2005.xls. 38. Emma Chanlett-Avery, “Japan-U.S. Relations: Issues for Congress,”RL33436 (Washington, D.C.: Congressional Research Service, March 28, 2007), summary page. 39. JoAnne O’Bryant and Michael Waterhouse, “U.S. Forces in Afghanistan,”RS22633 (Washington, D.C.: Congressional Research Service, March 30, 2007), 1. 40. The Taliban allowed Afghanistan to be a haven for Islamic militants including Osama bin Laden, leader of al-Qaeda. The Taliban refused to extradite bin Laden to the U.S. following the attacks of 9/11. 41. Julie Kim and Steven Woehrel, “Kosovo and U.S. Policy: Background and Current Issues,” RL31053 (Washington, D.C.: Congressional Research Service, April 26, 2007), 20. 42. Located on the northeast coast of the horn of Africa. 43. Lauren Plock, “Africa Command: U.S. Strategic Interests and the Role of the U.S. Military in Africa,”RL34003 (Washington, D.C.: Congressional Research Service, May 16, 2007), summary page. 44. Source: http://www.mfo.org/1/9/46/base.asp. 45.Richard Grimmett,“Instances of Use of United States Armed Forces Abroad, 1798-2006,”RL32170 (Washington, D.C.: Congressional Research Service, January 8, 2007), 39. See also Julie Kim, “Bosnia: Overview of Current Issues,”RS22324 (Washington, D.C., Congressional Research Service, March 7, 2007). 46. CBO, “NATO Burdensharing after Enlargement,”August 2001, summary page. 47. Kristin Archick and Paul Gallis, “NATO and the European Union,”RL32342 (Washington, D.C.: Congressional Research Service, January 23, 2007), 5–8. 48. Larry Niksch, “Korea-U.S. Relations: Issues for Congress,” RL33567 (Washington, D.C.: Con- gressional Research Service, February 23, 2007), 27–28. 49. Niksch, “Korea-U.S. Relations,”23–27. 50. George Siehl and Edward Knight, “Military Base Closures since 1988,” 96-562F (Washington, D.C.: Congressional Research Service, February 26, 2997), 2. 51. Christopher Davis, “Fast Track Congressional Consideration of Recommendations of the Base Realignment and Closure (BRAC) Commission,”RS22144 (Washington, D.C.: Congressional Research Service, May 12, 2005), 6. 03_1part.qxp 11/20/07 10:26 AM Page 120

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52. The downsizing is called a “major base realignment,” which is defined as one with a net loss of 400 or more military and civilian personnel. “Military Base Closures,”GAO-07-166 (Washington, D.C.: Government Accountability Office, January 2007), 7. 53. H.R. 2206 (110th Congress, 1st sess.). 54. See http://www.tricare.osd.mil/planning/congress/downloads/2006/04-04-06SASCChuWinken werderOMBFinal.pdf. 55. See Tom Philpott, “Struggle to Enact Fee Hikes Continues,” HeraldNet.com, April 15, 2006. 56. GAO, “Defense Health Care,”July 2005, letter to Chairmen Warner and Hunter. 57. Members of the Guard and Reserve get early access to TRICARE upon notification of call-up and have continued access to TRICAARE for six months following active duty service for themselves and their families. Testimony before the Senate Armed Services Committee, Subcommittee on Person- nel, April 4, 2006, p. 13. 58. Includes unmarried children under 21, full-time college students under 23, and most severely disabled unmarried children regardless of age. 59. In addition to covering the Army, Navy, Marine Corps, Air Force, and Coast Guard, TRICARE also covers two other uniformed services, the Public Health Service and the National Oceanic and Atmospheric Administration. 60. In addition, military retirees continue to be eligible for health care at military facilities on a space available basis. 61. See http://www.tricare.osd.mil/reserve/reserveselect/index.cfm. 62. The Rand Corporation Center for Military Health Policy Research, Statement of Susan Hosek before the Senate Armed Services Committee, Subcommittee on Personnel, April 21, 2005. 63. Charles A. Henning, “Military Retirement: Major Legislative Issues,” RL33449 (Washington, D.C.: Congressional Research Service, March 14, 2006), 1. 64. Henning, “Military Retirement,”3–6. 65. FY 2004 DOD Statistical Report on the Military Retirement System (Washington, D.C.: DoD Office of the Actuary, September 30, 2004), 90, 105, http://www.defenselink.mil/actuary/statbook04.pdf. 66. Research and development of missile defense systems actually began in the 1950s concurrent with the beginning of the missile age. Steven Hildreth, “Ballistic Missile Defense: Historical Overview,” RS22120 (Washington, D.C.: Congressional Research Service, January 5, 2007), 2–3. The $150 billion number is in Miriam Pemberton and Lawrence Korb, “A Unified Security Budget for the United States, FY 2008” (Foreign Policy in Focus, April 2007), 22. 67. Steven Hildreth, “Foreign Affairs, Defense, and Trade: Key Issues for the 110th Congress,” RL33760 (Washington, D.C.: Congressional Research Service, December 20, 2006), 60. 68. The ABM Treaty negotiated by the U.S. and the Soviet Union Treaty prohibited the deployment of ABM systems for the defense of either nation’s entire territory, the concept being that such a deploy- ment could undermine the nuclear deterrent of the other nation’s arsenal. However, the Treaty, as amended in 1974, permitted both countries to deploy one ABM site located either at the nation’s cap- ital or around an ICBM deployment area. The Treaty banned sea-based, air-based, space-based, or mobile systems, but it placed no restrictions on defenses against shorter range missiles. Hildreth, “Bal- listic Missile Defense,”2. 69. Testimony of Lt. General Henry Obering III, Director, Missile Defense Agency, before the Strate- gic Forces Subcommittee of the House Armed Services Committee, March 27, 2007. 70. White House, “National Policy on Ballistic Missile Defense Fact Sheet,”May 20, 2003, www.white- house.gov/news/releases/2003/05/print/20030520-15.html. 71. Hildreth, “Ballistic Missile Defense,”1. 72. One report states that “the system has failed in five out of 11 tests since 2004, and none of these tests have been conducted under anything approaching realistic conditions.” Miriam Pemberton and 03_1part.qxp 11/20/07 10:26 AM Page 121

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Lawrence Korb, “A Unified Security Budget for the United States, FY 2008” (Foreign Policy in Focus, April 2007), 23. 73. “Russia Tests New Ballistic Missile,” New York Times, May 30, 2007, A12, reports, Russia success- fully launched a new intercontinental ballistic missile as President Vladimir Putin “again chided the West for American-led plans to install an antimissile shield in Europe.”Russian officials also “pointedly said that the new missile, known as the RS-24, had been fired from a mobile launcher and that it could carry as many as six warheads that could not be defeated by current or future missile-defense systems.” 74. Steven Hildreth, “Missile Defense: The Current Debate” and Government Accountability Office, “Missile Defense Acquisition Strategy Generates Results but Delivers Less at a Higher Cost,” GAO-07- 387, March 2007. 75. Department of Energy, FY 2008 Budget Request to Congress, http://www.mbe.doe.gov/bud- get/08budget/Start.htm. 76. Janathan Medalia, “Nuclear Warheads: The Reliable Replacement Warhead Program and the Life Extension Program,” RL33748 (Washington, D.C.: Congressional Research Service, May 7, 2007). See also National Nuclear Security Administration, Department of Energy, Testimony of Thomas P.D’Agostino, Administrator, before the House Committee on Armed Services, March 20, 2007; and “Weaponeers of Waste: A Critical Look at the Bush Administration Energy Department’s Nuclear Weapons Complex and the First Decade of Science-Based Stockpile Stewardship” (Washington, D.C.: Natural Resources Defense Council, April 2004). 77. Letter accompanying U.S. Government Accountability Office, “Defense Acquisitions: assessments of Selected Weapon Programs,”GAO-07-406SP (Washington, D.C.: March 2007), 1. 78. Pat Towell, “Foreign Affairs, Defense, and Trade: Key Issues of the 110th Congress,” RL33760 (Washington, D.C.: Congressional Research Service, December 20, 2006), 52. 79. Transformation as described by Pat Towell in “Foreign Affairs, Defense, and Trade: Key Issues of the 110th Congress,”RL33760 (Washington, D.C.: Congressional Research Service, December 20, 2006), 52. For more information on “Defense Transformation,” see Ronald O’Rouke, “Defense Transforma- tion: Background and Oversight Issues for Congress, RL3228 (Washington, D.C.: Congressional Research Service, April 16, 2007). 80. Towell, “Foreign Affairs, Defense, and Trade,”53; Miriam Pemberton and Lawrence Korb, “A Uni- fied Security Budget for the United States, FY 2008” (Foreign Policy in Focus, April 2007), 22-24; GAO, “Defense Acquisitions.” 81.GAO, “Defense Acquisitions,”9. 82. GAO, “Defense Acquisitions,”11. 83. Eigen and Sigel, The Macmillan Dictionary of Political Quotation, 179. 84. The Director of National Intelligence released the total amount appropriated for national intel- ligence for FY 2007, as required by the 9/11 Commission implementing legislation (P.L.110-53). How- ever, no details below the top line will be released, and the requirement to release total funding is applicable to fiscal years 2007 and 2008 only. See www.dni.gov/press_releases/20071030_release.pdf. 85. However, on January 9, 2007, the House established (H.Res. 35, 110th Congress) a select panel within the House Appropriations Committee that includes three members of the Permanent Select Committee on Intelligence to review intelligence funding issues, although the panel does not have any legislative authority. Richard Best, “Intelligence Issues for Congress,”RL33539 (Washington, D.C.: Con- gressional Research Service, May 16, 2007), 7. 86. According to CRS, “funding for most intelligence activities included in the defense appropria- tions bills is not identified as such either in legislation itself or in the accompanying reports, but does appear in classified annexes to the reports which Senators and Representatives can read under guide- lines designed to protect secrecy.” Thomas Nicola, “9/11 Commission Recommendations: Intelligence Budget,”RL32609 (Washington, D.C.: Congressional Research Service, September 27, 2004), 4. 03_1part.qxp 11/20/07 10:26 AM Page 122

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87. The MIP is comprised of the former Joint Military Intelligence Program, or JMIP, that funded programs related to defense-wide intelligence requirements; and the Tactical Intelligence and Related Activities, or TIARA budget, which funded tactical military intelligence programs managed by the mil- itary services. JMIP and TIARA were combined by the Defense Department into the MIP in Septem- ber 2005. Richard Best and Elizabeth Bazan, “Intelligence Spending: Public Disclosure Issues,” 94-261 (Washington, D.C.: Congressional Research Service, February 15, 2007), 3. 88. P.L. 108-458 (108th Congress, 2d sess.). See also The 9/11 Commission Report: Final Report of the National Commission on Terrorist Attacks upon the United States (New York: Norton, 2004), 412; and Richard Best, Alfred Cumming, and Todd Masse, “Director of National Intelligence: Statutory Author- ities,”RS22112 (Washington, D.C.: Congressional Research Service, January 30, 2007). 89. See chapter 2-3 on apportionment. The 2004 Act provides that the Director of OMB, at the exclusive direction of the DNI, will apportion funds to intelligence agencies. 90. Best et al., ”Director of National Intelligence,”3-5. 91. Best, “Intelligence Issues for Congress,”8. 92. Doyle McManus and Peter Spiegel, “Spy Czar, Rumsfeld in a Turf War,” Los Angeles Times,May 6, 2006. 93. The National Security Agency has an estimated 40,000 military and civilian personnel.” Hay- den’s Code,” GovExec.Com, October 15, 2004. 94. See http://ftp.fas.org/irp/agency/daro/daroorg.htm. 95. Based on estimates from “The Intelligence Community,” National Journal (March 19, 2005); Doyle McManus and Peter Spiegel, “Spy Czar, Rumsfeld in a Turf War,” Los Angeles Times, May 6, 2006; www.globalsecurity.org/intell/library/budget/index.html (accessed June 2, 2007); and http://www.thes- pywhobilledme.com/the_spy_who_billed_me/2007/06/exclusive_offic.html (accessed June 4, 2007). How- ever, because the intelligence budget is classified, the reliability of these estimates cannot be verified. 96. In 2002, Eleanor Hill, Staff Director of a joint Senate-House Intelligence investigation of the September 11 attacks summarized the inquiry’s findings: “the Intelligence Community did have gen- eral indications of a possible terrorist attack against the United States or U.S. interests overseas in the spring and summer of 2001 and promulgated strategic warnings. However, it does not appear that the Intelligence Community had information prior to September 11 that identified precisely where, when and how the attacks were to be carried out Best, “Intelligence Issues for Congress,”8. 97. See CRS, “U.S. Intelligence and Policymaking: The Iraq Experience,”December 2, 2005, 2, which states in part, “the prewar intelligence estimate that Iraq was reconstituting an extensive nuclear pro- grams [sic] was in large measure discredited.”See also Best, “Intelligence Issues for Congress,”13, which cites the report of the Commission on the Intelligence Capabilities of the United States Regarding WMDs (www.wmd.gov/report/index.html). According to CRS “the report described in detail a num- ber of analytical errors that resulted in faulty pre-war judgments on Iraq’s WMDs.” 98. Interview, PBS, MacNeil-Lehrer News Hour, September 12, 1991, as quoted in Eigen and Sigel, The Macmillan Dictionary of Political Quotations, 180. See also “An Interview with former CIA analyst Melvin Goodman,”www.cnn.com/SPECIALS/cold.war/episodes/21/interviews/goodman/, 5. 99. The 9/11 Commission Report, 380. 100. Section 302(f) of the Congressional Budget Act, as explained in chapter 2-4. 101. The 9/11 Commission Report, 380. 102. Budget function 050. 103. Letter Appropriations Subcommittees on Homeland Security, Subject: Combating Nuclear Smug- gling (Washington, D.C.: Government Accountability Office, October 17, 2006). 104. Linda-Jo Schierow, “Chemical Facility Security,” RL31530 (Washington, D.C.: Congressional Research Service, December 15, 2006), 11–15. 105. Farewell address, January 17, 1961. Daniel B. Baker, Political Quotations (Detroit, MI: Gale Research, 1990), 237. 03_2part.qxp 11/20/07 10:24 AM Page 123

CHAPTER 3-2

Department of Homeland Security

FY 2007 DHS Spending: $43 billion1 Less than 1.5% of Federal Spending

See www.GovBudget.com for updated numbers

In a Nutshell The primary mission of the Department of Homeland Security (DHS) is to prevent terrorist attacks in the United States in the aftermath of 9/11. In establishing DHS, the Homeland Secu- rity Act of 2002 brought together 22 agencies with responsibility for emergency planning, as well as securing the borders and coastal waters, transportation systems, ports, critical infra- structure, and the nation’s leadership.2 For FY 2007, the Department’s budget (including sup- plemental appropriations) is $43 billion, including appropriations for the Federal Emergency Management Agency (FEMA), homeland security grants to State and local governments, the Coast Guard, U.S. Customs and Border Protection (CBP), Immigration and Customs Enforce- ment (ICE), U.S. Citizenship and Immigration Services (USCIS), the Transportation Secu- rity Administration (TSA) and Air Marshals, the Domestic Nuclear Detection Office (DNDO), and the Secret Service. Because of the wide range of activities conducted by the various agen- cies, more than one-third of DHS expenditures are unrelated to homeland security.

Background The most difficult part of explaining what our country is spending on homeland security is defining what “homeland security” spending actually includes. There are two reasons why DHS spending cannot be equated with actual expenditures on “homeland security.” First, as reflected in figure 3-2.1, in FY 2007 less than two-thirds of the funding appro- priated to the Department of Homeland Security was used for homeland security activities. This reflects the broad responsibilities of the various agencies.

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FIGURE 3-2.1 Department of Homeland Security Spending in FY 2007

DHS Non-Homeland Security Activities 39%

DHS Homeland Security Activities 61%

Second, a number of homeland security programs or activities are located in other depart- ments such as the BioShield program at the Department of Health and Human Services and nuclear nonproliferation and counterterrorism operations at the Departments of Defense and Justice.

FY 2007 DHS Budget Authority in billions of dollars (including supplemental appropriations) Program/Activity FY 2007* Description Programs/activities related to homeland security Customs and Border $9.6 b CBP is responsible for inspecting travelers at Protection (CBP) land, sea, air ports of entry for immigration and customs compliance. Transportation Security $6.6 b Screening of passengers and cargo at airports. Administration (TSA) ($2.3 b in security fees offset the TSA budget.) Also includes $719 m for air marshals. Immigration and $4.2 b Investigation/enforcement of immigration and Customs Enforcement customs laws (ICE) State and local $3.7 b State and local homeland security (details in grant programs table 3-1.1) Coast Guard $2.6 b Coastal and other defense operations (30% of CG budget) Secret Service $1.5 b Protection of officials, buildings (and lead agency on counterfeiting and other financial fraud crimes) 03_2part.qxp 11/20/07 10:24 AM Page 125

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Program/Activity FY 2007* Description

National Protection and $973 million US-VISIT (monitors entry & exit of aliens), Programs Directorate infrastructure protection, cybersecurity. emergency communications Science and Technology $853 million Detection, destruction of chemical/biological agents and conventional explosives; research on interoperability Domestic Nuclear $581 million Detect and identify the origins of nuclear and Detection Office radiological materials Rail, transit, trucking, $ 37 million Entire TSA budget for surface transportation is bus security $37 million. ($399 million included in “state and (administered by TSA) local grants” is also aimed at improving surface transportation security.) Other $1.4 b DHS operations, Inspector General, Law Enforcement Training Center Non–Homeland Security Programs/Activities FEMA Disaster Relief $10 b Preparing for disasters, coordinating response efforts, providing recovery assistance, and working to mitigate risks of future disasters Coast Guard (non-HS) $5.9 b Search & rescue, marine safety, navigation support, ice operations, environmental protection, marine resources, law enforcement, drug interdiction Citizenship and $2 b Processes all applications for citizenship, work Immigration Services authorization, residency, asylum, and refugee (USCIS) status. National Flood $2.8 b Covers flood losses, which are rarely covered by Insurance Program private insurers. (This reflects gross spending, which is offset in the budget by insurance premiums.) *Adjusted to reflect ’07 Supplemental Appropriations. See www.GovBudget.com for updated numbers.

Some have suggested that the Homeland Security Act of 2002 merely reshuffled the bureaucracy but didn’t add any real money to homeland security. This is a misperception: total funding for homeland security activities—at DHS and other agencies—has substantially increased since 9/11. According to CBO’s most recent analysis, total funding for homeland security more than doubled between FY 2001 and FY 2006, from $21 billion to nearly $49 bil- lion.3 New resources include funding for TSA to screen all airline passengers and baggage, homeland security grants to state and local governments, and research and development of new preparedness and detection technologies. Additional resources have been appropriated to 03_2part.qxp 11/20/07 10:24 AM Page 126

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CBP and ICE for border and customs security, as well as for operations at other departments including DoD funding for security at military bases and domestic counterterrorism activi- ties of the FBI. The question of whether the establishment of DHS has actually improved the nation’s homeland security is a separate issue that will be addressed at the end of this chapter.

State and Local Homeland Security Grants In a Nutshell State and local homeland security grants are aimed at improving preparedness of state and local governments, particularly first responders, to respond to terrorist incidents. The numer- ous grant programs include general state grants and grants focused on law enforcement ter- rorism prevention; high-threat urban areas; ports, rail, and transit; intercity buses; trucking; buffer zone areas near nuclear plants; national exercises to promote readiness; state and local training; first-responder equipment; technical assistance; medical response; community involvement; rural preparedness; emergency management; and assistance to firefighters. Grants in FY 2007 amounted to $3.7 billion.

Background A core function of the Department of Homeland Security has been the allocation of State and local homeland security grants. For FY 2007, Congress appropriated funds for numerous types of grants, as reflected in table 3-2.1. The Office of Grant Programs, now part of FEMA, admin- isters the grants, which collectively are aimed at improving the readiness of State and local governments for terrorism incidents and catastrophic events. Much of this assistance is aimed at strengthening “first responders”—that is, police, fire, rescue, and emergency personnel who are first on the scene of a terrorist attack or major disaster. Two ongoing issues with regard to state and local homeland security preparedness grants have been whether the grant funds are adequate, and whether the allocation process makes sense. Amount of Funding. With regard to the amount of funding, many have argued that con- sidering the extent to which the nation depends on state and local governments to protect critical infrastructure, identify potential terrorist activity, and respond to emergencies, the total amount of funding is seriously inadequate. Debate on this issue is intensifying given the Administration’s reduced requests for FY 2008 funding for state and local grants. Allocation of Funding. Regarding the allocation of appropriated funds, some have argued that all States and cities should have access to Federal homeland security grants. Others have argued that Congress should allocate the funds based purely on an assessment of risk (i.e., which States and cities are most vulnerable to terrorist attack). The results of this debate have been a gradual evolution from population- to risk-based allocation. In FY 2004, Congress gave DHS discretion on how to allocate grant funds, and it chose to allocate based on population rather than assessments of the highest-risk targets. In FY 2005, Congress required that grants be allocated based on population rather than risk. In FY 2006 and FY 2007, Congress gave DHS discretion on how to allocate grant funds, knowing that 03_2part.qxp 11/20/07 10:24 AM Page 127

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TABLE 3-2.1: FY 2007 State and Local Preparedness Grants (Budget Authority in Millions of Dollars) FY 2007 Grant Funding Purpose/Description

Grants based on risk assessment, but including a minimum state allocation State Homeland $533 m* Grants to States to support the implementation of Security Grants State homeland security strategies. Grants are allocated by the Secretary on the basis of risk and effectiveness and then adjusted to ensure that each State receives at least 0.25% of the program total. Law Enforcement $375 m Grants to law enforcement for terrorism Terrorism Prevention prevention including coordination with other Program government agencies and the private sector. Allocated on the same basis as state grants (risk with a minimum state allocation). Discretionary grants based on risk assessment and effectiveness Urban Area Security $805 m* Grants to address the security needs of Initiative high-threat, high-density urban areas and to (High-threat, high-density assist in building a capacity to prevent, respond urban areas) to, and recover from acts of terrorism Port Security $320 m* Grants to the owners and operators of ports, terminals, passenger vessels and ferries, as well as port authorities and State and local agencies for enhancements to security at the Nation’s seaports5 Rail and Transit Security $275 m Grants to transit systems in high-risk urban areas for the protection of critical infrastructure and preparedness Intercity Bus Security $12 m Grants to owners/operators of fixed route, intercity bus services serving high risk urban areas Trucking Security $12 m Grants to the American Trucking Association to continue the Highway Watch Program Buffer Zone Protection $50 m Grants to increase the preparedness capabilities of jurisdictions responsible for security of communities located around select, high-risk critical infrastructure National Exercise Program $49 m Funds Federal, State, and local exercises for WMD events and other major incidents State and Local Training $ 145 m Supports the unique training facilities managed by Program (National the Center for Domestic Preparedness and other Domestic Preparedness members of the National Domestic Preparedness Consortium) Consortium (Continued) 03_2part.qxp 11/20/07 10:24 AM Page 128

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TABLE 3-2.1: FY 2007 State and Local Preparedness Grants (Continued) (Budget Authority in Millions of Dollars) FY 2007 Grant Funding Purpose/Description

CEDAP: Commercial $50 m Equipment for first responders Equipment Direct Assistance Program Technical Assistance, $39 m* Technical assistance for grantees and program Evaluation evaluation Metropolitan Medical $33 m MMRS funds local preparedness efforts to respond Response System to all-hazards mass casualty incidents Citizen Corps $15 m Coordinate community involvement in emergency preparedness, response, and recovery Training Grants $61 m Demonstration training grants; continuing training grants Rural Domestic $12 m Earmark for five colleges to develop rural Preparedness Consortium emergency preparedness training Emergency Management $250 m* Assistance for states and local governments in Performance Grants planning and implementing emergency management activities Assistance to Firefighters $662 m Direct assistance for local fire departments: training, equipment, protective gear needed for terrorism response TOTAL $3.698 billion State and local homeland security assistance programs *Includes funding from FY 2007 Supplemental Appropriations.

DHS had decided to move to risk-based grant allocations, resulting in over 80% of the grants being based on risk (with a small state minimum applied to the basic State grant program).6

FEMA and Related Programs In a Nutshell FEMA has four basic areas of responsibility: preparing for disasters, coordinating emergency response efforts, providing recovery assistance, and working to mitigate risks of future disas- ters.7 Much of FEMA’s activity is concentrated in response and recovery as reflected in the $10 billion appropriated for the Disaster Relief Fund for FY 2007. The Fund is tapped for presiden- tially declared “major disasters” and “emergencies.” (The amounts appropriated for the Fund vary dramatically from year to year based on the occurrence of disasters and emergencies.) 03_2part.qxp 11/20/07 10:24 AM Page 129

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Background The Federal Emergency Management Agency was established by President Carter in 19798 to centralize disaster prevention, preparedness, and response in a single agency. In its early years, the agency received a great deal of criticism. In response to this criticism, in 1993 President Clinton appointed James Lee Witt, the first professional emergency manager to direct the agency, and elevated the agency to Cabinet-level status. Under Witt, FEMA received consid- erable praise for improving responsiveness to natural disasters.9 Most disaster relief funds are provided by Congress as “emergency spending” (see chap- ter 2-4) and are therefore outside the constraints of the annual Congressional Budget Reso- lution. For example, for FY 2007, Congress had (as of June 2007) appropriated $10 billion to FEMA for disaster relief, most of it as emergency spending. The President’s request for FY 2008 for FEMA was $2.7 billion, with the expectation that disaster relief would be appropri- ated on an as-needed emergency basis as the 2008 hurricane season unfolds and other emer- gency situations arise. Under a law known as the Stafford Act, “major disasters” (e.g., hurricanes, tornadoes, earthquakes, fires, floods, or explosions) or “emergencies” (situations that threaten lives, pub- lic safety, or property) may be declared by the President when a State requests Federal assis- tance and certifies that the disaster or emergency is beyond the State’s capacity to respond.10 Upon presidential declaration of a “major disaster” or “emergency,”a broad range of Fed- eral resources automatically become available depending on the type of assistance needed— for example, cash grants for the immediate needs of individuals and families; disaster unemployment assistance; assistance to individuals with special needs; crisis counseling; tem- porary shelter and housing; and repairs to (and rebuilding of) State, local, and nonprofit infra- structure.11 Table 3-2.2 summarizes FEMA’s functions:

Issue: Moving FEMA to DHS and the Hurricane Katrina debacle When the Department of Homeland Security was established in 2003, FEMA (along with its 2,600 full-time and 4,000 standby employees) was moved to DHS, the rationale being that disaster response, whether for a natural disaster or a terrorist attack, involves similar activities. However, given the catastrophically poor performance of FEMA in responding to Hur- ricanes Katrina and Rita in August 2005,15 many have questioned the wisdom of the 2002 decision to relocate the previously independent agency to DHS. Irwin Redlener, Director of the National Center for Disaster Preparedness at Columbia University, observed that while Katrina could have overwhelmed any bureaucracy, the problems were made worse because FEMA had been weakened and underfunded when it was moved into DHS.16 After a major post-Katrina debate about whether to keep FEMA under the DHS umbrella or reestablish it as an independent agency, Congress decided in 2006 to keep FEMA within DHS but made a number of significant reforms in the Post-Katrina Emer- gency Management Reform Act of 2006 (Post-Katrina Act).21 Key among these reforms (effective March 1, 2007):

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TABLE 3-2.2. Summary of FEMA’s Comprehensive Emergency Management (CEM) Functions

Preparedness Financial assistance for State and local disaster planning • Coordinates Federal interagency planning for disaster response and continuity of government • Coordinates business and government leaders willing to volunteer for government service in emergency situations • Awards grants to state and local governments for exercises and simulations • Trains first-responder units (firefighters, emergency rescue, hazardous materials teams). Response Coordinates delivery of Federal and nonfederal resources to communities stricken by major disasters • Administers funds to nonprofit organizations that aid the homeless13 • Monitors the response of Federal interagency teams to hazardous material incidents • Awards funds for response associated with storage of chemical agents • Awards assistance to State and local officials responding to major disasters and catastrophic situations. Recovery Provides funds to individuals and families in need of temporary shelter or cash grants due to losses incurred in major disasters • Awards grants to state and local governments and nonprofit organizations for the reconstruction or repair of structures • Reimburses National Flood Insurance policy holders for losses from floods • Provides Community Disaster Loans (CDLs) to assist local governments that experience revenue losses as the result of a disaster.14 Mitigation Assists property owners seeking to reduce future losses by elevating, relocating, or reinforcing buildings in disaster-prone areas such as flood plains or earthquake zones • Awards grants to help non-federal fire agencies fight wildfires before they result in more catastrophic losses • Publishes flood zone maps and funds efforts to update the maps • Provides technical assistance and funding for updating land use plans and building codes • Funds efforts to prevent terrorist attacks.

to the President and the Homeland Security Council during emergencies, as well as authority to make recommendations directly to Congress; • Reintegrates into FEMA the “preparedness” function for disasters (which had been moved from FEMA to a Preparedness Directorate when DHS was created) and requires the FEMA Administrator to establish a comprehensive National Preparedness System and a national exercise program to evaluate the nation’s preparedness; • Includes in FEMA’s preparedness responsibilities, the administration of the State and local first-responder grants; • Establishes a Disability Coordinator and a Small State and Rural Advocate inside FEMA; • Establishes regional offices and working groups to improve Federal, State, and local coor- dination; and • Tasks FEMA with establishing a National Emergency Family Registry and Locator Sys- tem, planning for continuity of government, and responsibility for distribution of home- land security grants to State and local governments.22 03_2part.qxp 11/20/07 10:24 AM Page 131

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FEMA’s Response to Hurricane Katrina Senate Report (2006):“Hurricane Katrina was . . . the most destructive disaster in American history, laying waste to 90,000 square miles of land, an area the size of the United Kingdom....[M]ore than 1,500 people died....[T]he suffering that contin- ued in the days and weeks after the storm passed . . . continued longer than it should have because of . . . the failure of government at all levels to plan, prepare for and respond aggressively to the storm. These failures ...were pervasive.”17 LOW RES House Report (2006): “The Select Committee identified failures at all levels of government that significantly undermined and detracted from the heroic efforts of first responders, private individ- uals and organizations, faith-based groups, and others....The preparation for and response to Hurricane Katrina show . . . that we are woefully incapable of storing, moving, and accessing infor- Source: http://www.newsandtech.com/ mation—especially in times of crisis....The issues/2005/10-05/nt/images/ Select Committee believes Katrina was primarily 01katrina.jpg. a failure of initiative.”18

GAO (2006): “Hurricane Katrina raised major questions about our nation’s readiness and ability to respond to catastrophic disasters.”19 “Over 50,000 National Guard and 20,000 active (military) personnel participated in the response....[N]one ofthe exer- cises that were conducted prior to Katrina had called for a major deployment of DOD capabilities to respond to a catastrophic hurricane.”20

In addition, responding to widespread criticism of former FEMA Administrator Michael Brown’s lack of emergency management experience, the legislation also instructed the Presi- dent to nominate an administrator who has “a demonstrated ability in and knowledge of emergency management and homeland security” and has “not less than 5 years of executive leadership and management experience in the public or private sector.” However, the Presi- dent’s “signing statement,”a document often issued by the White House when a bill is signed into law, asserts the provision could rule out good candidates and the provision will be inter- preted “in a manner consistent with the Appointments Clause of the Constitution.”23 Trans- lation: White House attorneys believe the bill’s qualifications requirement abridges the President’s constitutional appointment authority, and the Administration does not consider itself to be bound by the new requirement.24 03_2part.qxp 11/20/07 10:24 AM Page 132

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Issue: The Escalating Costs of the Gulf Coast Hurricanes. As of June 2007, the combined costs of Federal assistance (spending and tax relief) in response to Hurricanes Katrina and Rita reached $128.8 billion, far more than any other domestic emergency, as reflected in table 3-2.3.25 Moreover, Federal spending and tax relief dispensed thus far may only be the tip of the iceberg. In June 2007, GAO reported that “while the federal government has provided billions of dollars in assistance to the Gulf Coast, a substantial portion of this aid was directed to short- term needs, leaving a smaller portion for long-term rebuilding....[T]he Congressional Bud- get Office put capital losses resulting from Hurricanes Katrina and Rita in the range of $70 billion to $130 billion....[T]he State of Louisiana estimates that the economic impact on its state alone would reach $200 billion.”26

Emergency Food and Shelter Program Tucked away inside FEMA, and now under the huge umbrella of DHS, is a small $151 mil- lion program (small, that is, by Federal standards) called the Emergency Food and Shelter Program (EFSP). EFSP is one of the best examples of a highly effectively public-nonprofit

TABLE 3-2.3 Comparison of Federal Response to Domestic Emergencies (in inflation-adjusted constant 2006 dollars) 150

120

90

60 Billions ofBillions 2006 Dollars

30

0 Hurricane L.A. 9/11 2004 Hurricanes Andrew Earthquake Hurricanes Katrina/Rita

Source: Senate Budget Committee, June 4, 2007. 03_2part.qxp 11/20/07 10:24 AM Page 133

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partnership. EFSP was established in 1983 to help meet the needs of hungry and homeless people throughout the United States by allocating Federal funds for the provision of emer- gency food and shelter. The program is governed by a national board composed of represen- tatives of the American Red Cross; Catholic Charities, USA; United Jewish Communities; The National Council of the Churches of Christ in the U.S.A.; The Salvation Army; and United Way of America. The Board is chaired by a representative from FEMA. During its 20 years of operation, the program has disbursed over $2 billion to over 11,000 local providers in more than 2,500 counties and cities. The program has very little overhead and no government bureaucracy. It gets money out the door to soup kitchens, food banks, shelters, and homeless prevention services quickly and efficiently.

National Flood Insurance Program The National Flood Insurance Program (NFIP) was established to reduce flood losses through flood hazard identification, flood plain management (by encouraging land use con- trols and building codes), and insurance protection in a market rarely covered by private insurers. If you have a homeowner’s policy, you know that flooding is excluded from your cov- erage. Because of the catastrophic nature of flooding and the likelihood of flooding along many bodies of water, private insurance companies have largely been unwilling to under- write and bear the risk of flood insurance.28 Nevertheless, “flooding has been the most com- mon natural disaster in the U.S., costing more in property damages than any other natural disaster.”29 In response to the increasing cost of damages caused by flooding, in 1968 Congress estab- lished the NFIP (1) to make flood insurance widely available; and (2) to reduce flood dam- age by encouraging states and cities—through various incentives—to establish land use controls and building codes.30 NFIP, administered by FEMA, offers flood insurance to all homeowners, renters, and business owners—regardless of risk—provided their communities use the NFIP’s strategies for reducing flood risk.31 In order to spread the costs of flood insur- ance claims, Federal law requires that all property owners in high-risk areas purchase NFIP policies—although compliance has been a problem. In an October 2005 report, GAO found that “the NFIP . . . is not actuarially sound” because it does not collect sufficient premiums to meet future expected flood losses.32 The GAO points out, though, that this imbalance is “by design” reflecting a policy decision by Con- gress to subsidize premiums for high-risk properties.33 The imbalance is covered by autho- rizing the program to borrow from the Treasury. Due to Hurricanes Katrina and Rita in 2005, the program’s borrowing authority had to be increased in late 2005 from $3.5 billion to $18.5 billion to pay claims from the two hurricanes.34 An ongoing problem in the NFIP is the high cost of paying for repetitively flooded prop- erties (RLPs), which were “grandfathered” into the NFIP when the program was created.35 Hurricanes Katrina and Rita raised other policy questions as well. According to CRS, “the disasters have renewed public concerns about reliability of the nation’s aging flood control levees and dams ...what is an acceptable level of risk—especially for low-probability, high- 03_2part.qxp 11/20/07 10:24 AM Page 134

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consequence events—and who should bear that risk.”36 The response to these questions could have enormous budgetary consequences.

Transportation Security Administration (TSA)

Targeting travel is at least as powerful a weapon against terrorists as targeting their money. The United States should combine terrorist travel intelligence, operations, and law enforce- ment in a strategy to intercept terrorists, find terrorist travel facilitators, and constrain ter- rorist mobility. —The 9/11 Commission37

In a Nutshell The Transportation Security Administration (TSA), with an FY ’07 budget of $6.6 billion and 49,000 employees, is responsible for securing the nation’s air and surface transportation from all forms of attack. ($2.3 billion in passenger and airline security fees offset TSA spending yield- ing a net budget of $4.3 billion). The vast majority of TSA’s resources are allocated to employ- ing a Federal workforce at the nation’s airports to screen passengers and check baggage for weapons and explosives. The Secure Flight program prescreens passengers against terrorist watch lists. Other functions include deploying Federal Air Marshals to deter and defeat attacks on board U.S. airlines, with a budget of $719 million; and security for surface transportation (rail, transit, trucking, and intercity buses) with a minimal budget of $37 million.

Background Two months after the attacks of 9/11, the President signed into law the Aviation and Trans- portation Security Act38 (ATSA) establishing the Transportation Security Administration. The new agency was established to restore confidence in air travel and prevent another 9/11. Although originally part of the Department of Transportation, TSA was integrated into the new Department of Homeland Security in March 2003. TSA’s air security functions include prescreening prospective passengers against terror- ism watch lists (the Secure Flight program), screening passengers at the airport with metal detectors and random searches, X-raying carry-on luggage, and screening all checked baggage with explosive detection systems (EDS) equipment. Other air security functions include the security of air cargo, limiting access to restricted areas at airports, securing airport perime- ters, and conducting background checks for baggage handlers and other airport personnel. In 2003, the Federal Air Marshall program was moved from TSA to ICE, but it was trans- ferred back to TSA in 2006. TSA got high marks for meeting its original benchmarks. In less than 6 months, TSA trained more than 25,000 individuals to be federal screeners39 and installed 1,000 explo- sive detection system machines and 6,000 tabletop explosive trace detection (ETD) machines at commercial airports.40 However, TSA’s management practices and effective- ness, as well as Congress’s funding decisions, have been subject to criticism in a number of important areas. 03_2part.qxp 11/20/07 10:24 AM Page 135

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Issues • Significant concerns have been raised about the lack of security for surface transporta- tion, particularly passenger rail systems and commuter trains, given the attacks in Mum- bai, London, Madrid, and Moscow. In addition, security experts are concerned about attacks on hazardous materials carriers, as well as the vulnerability of imported cargo containers to tampering during transportation to their destinations. Over 11 million marine cargo containers enter the U.S. annually, as well as 11 million truckloads of cargo and over 2 million railcars.41 Despite these vulnerabilities, the total TSA appropriations for truck, rail and other surface transportation is only $37 million, with an additional $399 million appropriated in FY 2007 through the State and local grants programs. This raises, once again, the issue of the imbalance between defense and homeland security spending and the need to view both as part of a single national security budget. (See chapter 3-1.) For example, reducing the defense research and development, and procurement budgets by only 1% would free up enough funds to increase surface transportation security fund- ing to over $2 billion annually.42 • TSA has had major problems implementing a system to prescreen air passengers. A con- troversy over detecting potential terrorists by “mining personal data” led to TSA scrap- ping its proposed Computer Assisted Passenger Prescreening (CAPPS II) program in 2004. CAPPS II is being replaced by a new system called “Secure Flight,” although simi- lar concerns about data protection, falsely identifying passengers as terror risks, and mis- management of costs have delayed implementation of the new system.43 • TSA has also faltered in implementing the 9/11 Commission’s recommendation that it give priority attention to implementing technology and procedures for screening pas- sengers for explosives. TSA has been testing so-called puffer machines, which would be a secondary walk-through device following the current metal detectors, but the technol- ogy is still not deployed.44 • While current policies are aimed at ensuring that all passenger baggage is screened prior to a flight, only a small amount of air cargo is screened. According to the Senate Appro- priations Committee, more than 50,000 tons of air cargo are transported each day, of which 7,500 tons is on domestic passenger aircraft; a majority of that cargo “is not inspected and virtually none is screened for radiation.”45 In FY 2007, Congress appro- priated only $55 million for the task of screening air cargo.46 • TSA has not developed a strategy for reducing the risks associated with U.S.-bound air cargo.47 • Currently a majority of the 800,000 airport employees are not screened before entering secure areas of their respective airports.48

Customs, Border Protection, and Immigration

The border and immigration system of the United States must remain a visible manifesta- tion of our belief in freedom, democracy, global economic growth, and the rule of law, yet serve equally well as a vital element of counterterrorism. —The 9/11 Commission49 03_2part.qxp 11/20/07 10:24 AM Page 136

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In a Nutshell U.S. Customs and Border Protection (CBP), with a budget of $9.6 billion and more than 44,000 employees, is responsible for preventing illegal immigrants, terrorists, and weapons of mass destruction from entering the U.S., conducting immigration, customs, and agricultural inspections at air, land, and sea ports of entry, and patrolling 7,500 miles of U.S. borders between ports of entry. SBInet is the program within CBP responsible for deploying a “vir- tual-fence” along the southwest border combining high-tech sensors, cameras, and fencing. U.S. Immigration and Customs Enforcement (ICE), with a budget of $4.2 billion and nearly 17,000 employees, investigates immigration and customs violations in the interior of the country, including work site enforcement, detention and removal of illegal aliens, and drug interdiction. U.S. Citizenship and Immigration Services (USCIS), with a budget of $2 bil- lion, facilitates entry, residence, employment, and naturalization of legal immigrants; and adjudicates (i.e., approves or denies) applications for citizenship, work authorization, resi- dency, asylum, and refugee status.50 More than 90% of the USCIS budget is offset by immi- gration fees.51

Background When the attacks of 9/11 occurred, the Congress and Administration were deeply involved in ongoing negotiations over restructuring the U.S. Immigration and Naturalization Service (INS), which had operated as a single agency within the Department of Justice since 1940. Independent commissions, many in Congress, and the last two INS Commissioners, Doris Meisner (1993–2000) and James Ziglar (2001–2003), were in agreement that a single agency could not effectively administer the competing priorities of providing immigration services and enforcing immigration laws.52 The Homeland Security Act of 2002 (HSA)53 separated those competing functions and placed them in separate agencies within the new Department of Homeland Security. On March 1, 2003, the responsibilities of providing immigration services were moved from INS at the Department of Justice to USCIS at the Department of Homeland Security. USCIS func-

FIGURE 3-2.2: Reorganization of INS into DHS

Immigration and Department of Naturalization Service Merged Homeland Security New agency Former (INS) into (DHS) department U.S. Citizenship and Services Immigration Services (CIS) U.S. Customs and Border Inspections and Border Patrol Protection (CBP) Bureau Functions Investigations, Intelligence, U.S. Immigration and Customs Detention and Removal Enforcement (ICE)

Source:GAO . 03_2part.qxp 11/20/07 10:24 AM Page 137

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tions include facilitating entry, residence, employment, and naturalization of legal immigrants; and adjudicating (i.e., approving or denying) millions of applications each year for citizen- ship,54 legal permanent resident status,55 and refugee or asylum status. The Homeland Security Act of 2002 placed INS’s immigration inspections, investigations, detention, removal, and border patrol functions into a Bureau of Border Security and kept the U.S. Customs Service intact. However, in 2003, the President exercised authority provided in the HSA to direct further organizational changes and split up the U.S. Customs Service and the Bureau of Border Security, reconfiguring them into two new agencies: one focused on security at the border (CBP) and the other focused on interior investigations (ICE). Specifically, CBP is responsible for:

• Immigration and customs inspections at all ports of entry (land, sea, and air) in order to detect and prevent the entry of terrorists, weapons of mass destruction (WMDs), unau- thorized aliens, and drug smugglers; • Inspecting all imports and exports for compliance with U.S. law and regulations, collect customs duties, and guard against smuggling of contraband; • Operating the Container Security Initiative, a program in which CBP inspectors prescreen U.S.-bound marine containers at foreign ports of loading; • Achieving effective control over U.S. land borders beginning with the southwest border— a program called SBInet (part of the Secure Border Initiative); • Patrolling U.S. borders, in coordination with the Coast Guard to prevent illegal aliens from entering the country and to secure the United States from terrorists (functions implemented by the United States Border patrol (USBP), which is on a projected growth trajectory from about 9,000 agents in 2001 to 18,000 by the end of 2008);56 • Conducting passenger and cargo pre-inspections at foreign airports and other selected sites abroad; • Inspecting animals, plants, and agricultural goods; and • Overseeing issuance of visas by the State Department in a manner consistent with home- land security.

Immigration and Customs Enforcement (ICE), and its more than 11,000 agents,57 is respon- sible for (in order of priority):58

• Detention and removal of criminal aliens; • Dismantling alien smuggling and trafficking operations; • Responding to community complaints about illegal immigration; • Immigrant benefits and document fraud; and • Employers’ use of unauthorized aliens.59

In addition, ICE tracks nonimmigrant aliens who pose an “elevated security risk,”tracks foreign students studying in the U.S., collects, analyzes and disseminates immigration-related intelligence, and performs the functions of the former Federal Protective Service, securing more than 8,800 federal facilities nationwide. 03_2part.qxp 11/20/07 10:24 AM Page 138

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US-VISIT. CBP and ICE together administer the US-VISIT entry-exit data system that was established to use biometrics (finger scans and digital photography) to track entries and exits from the country—a key function for stopping potential terrorists at the borders and curbing illegal immigration by making sure that temporary visitors leave the country when their visas expire.60 US-VISIT is funded by DHS’s National Protection and Programs Directorate.61

Issues Relating to Customs, Borders, and Immigration Issue 1: The Southwest Border Fence

Some months before I declared (for the presidency), I asked for a meeting and crossed the border to meet with the president of Mexico. I did not go with a plan. I went, as I said in my announcement address, to ask him his ideas—how we could make the border something other than a locale for a nine-foot fence.—President Ronald Reagan62

Fact: The U.S. border with Mexico, including Texas, New Mexico, Arizona, and Califor- nia, is 1,933 miles long.63

The “Border Fence.” In 1990, the U.S. Border Patrol (USBP), an agency now part of CBP, first began erecting near San Diego a 10-foot-high welded steel barrier known as the “pri- mary fence” to deter illegal entries and drug smuggling.64 In addition to the 14-mile barrier near San Diego, the Border Patrol erected stretches of primary fencing near other popula- tion centers: Yuma, Tucson, El Centro, and El Paso. In 1996 Congress authorized construc- tion of a secondary layer of fencing in the San Diego sector, and authority to expedite completion of the San Diego fence was provided in the REAL ID Act of 2005.65 In 2006, Con- gress passed the Secure Fence Act,66 which directs DHS to construct five separate stretches of fencing, lights, cameras and electronic sensors (SBInet) along the southwest border total- ing 850 miles.67 Implementing the Secure Fence Act comes with a high price tag. For FY 2007, Congress appropriated $1.5 billion for “border security fencing, infrastructure, and technology.”68 The FY 2008 Homeland Security Appropriations bills working their way through Congress call for another $1 billion. The Administration’s projected total cost for completing work at the southwest border is $7.6 billion from fiscal years 2007 through 2011, although DHS’s inspec- tor general warned in November 2006 that the cost could rise to $30 billion.69 According to GAO,“of this total, approximately $5.1 billion is for the design, development, integration, and deployment of fencing, roads, vehicle barriers, sensors, radar units, and com- mand, control, and communications and other equipment, and $2.5 billion is for. . .logistics and operations....[W]ork on the northern border is not projected to begin before fiscal year 2009.”70 03_2part.qxp 11/20/07 10:24 AM Page 139

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There is cause to be skeptical about the billions that will be spent on border fencing. According to a 2007 report to Congress:

In the limited urban areas where border fencing has been constructed, it has typically reduced apprehensions. However, there is also strong indication that the fencing, com- bined with added enforcement, has re-routed illegal immigrants to other less fortified areas of the border. Additionally, in the limited areas where fencing has been erected, there have been numerous breaches of the border fencing and a number of tunnels discovered crossing underneath the fencing. It stands to reason that even if border fencing is con- structed over a significant portion of the land border, the incidences of fence breaches and underground tunnels would increase....In San Diego,where (double layer) fenc- ing has been constructed, smugglers have dug numerous tunnels underneath the border fence. One such tunnel was almost a kilometer long and was built from reinforced con- crete—evidence of a rather sophisticated smuggling operation.71

Another reason to be skeptical about the effectiveness of border fencing is that roughly 40% to 50% of the people who are now in the United States illegally entered the country by legal means. In other words they came here on short-term visas of various types and remained.72 (As noted above, the “exit” portion of US-VISIT is not in place so there is currently no effective way to track aliens who overstay their visas.) Is the Border Fence a Homeland Security Issue? Advocates of border fencing have recently argued that sealing the borders is necessary for purposes of homeland security to stop terrorists with WMDs from entering the country. However, advocacy for the southern bor- der fence began in the 1980s in reaction to illegal immigration, long before terrorism became a national concern. Moreover, from a homeland security perspective, a sound strategy to keep terrorists and weapons of mass destruction out of the country requires deployment of new technologies at the 326 U.S. ports of entry, as well as up-to-date terrorist databases and no-fly lists. The bil- lions of dollars the U.S. is poised to spend on border fencing could be far better spent devel- oping and deploying nuclear, biological, and chemical detection technologies as quickly as possible.

Issue 2: Do U.S. Social Services Attract Illegal Immigrants? Illegal aliens have always been ineligible for U.S. benefits, except for emergency medical ser- vices (see Table 3-2.4). Legal permanent residents (i.e., immigrants) are, in general, not eli- gible for benefits until they have been in the United States for five years, with significant exceptions for refugees and asylees, and those with a military connection. These limitations on legal immigrants were imposed by the 1996 welfare overhaul with the intent of discouraging immigration primarily for the purpose of obtaining U.S. public assistance. Prior to 1996, legal permanent residents were generally eligible for Federal bene- fits on the same basis as citizens. 03_2part.qxp 11/20/07 10:24 AM Page 140

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TABLE 3-2.4 Eligibility of Foreign-born Persons for Federal Benefits92 Naturalized Aliens (foreign-born who Legal Permanent have become Program/Benefits Residents (LPRs) Illegal Aliens citizens)

Medicaid (health Not eligible (except for Not eligible (except Eligible care for low-income emergency medical for emergency Americans) care) until 5 years medical care—i.e., (see chapter 3-5 after becoming LPR arriving at the hospital for explanation and then at State’s in a medically of Medicaid) option. unstable condition) Exceptions: military,* residents with 10-year work history, and refugees/asylees are immediately eligible.

SCHIP: State Not eligible until Not eligible (unless Eligible Children’s Health 5 years after becoming a victim of Insurance Program LPR and then at trafficking) (see chapter 3-6 State’s option. for explanation of SCHIP) Exceptions: military* and refugees/asylees are immediately eligible.

Food Stamps Not eligible until Not eligible Eligible (see chapter 3-10 5 years after becoming for explanation of LPR. Food Stamps) Exceptions: refugees, asylees, children, military,* and disabled are immediately eligible.

SSI: Supplemental Noncitizens are Not eligible Eligible Security Income ineligible. for Aged, Blind, Disabled (Exceptions: (see chapter 3-10 • refugees/asylees are for explanation immediately eligible of SSI) for 7 years; • military residents as of August 22, 1996, and residents with 10-year work history are eligible) 03_2part.qxp 11/20/07 10:24 AM Page 141

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Naturalized Aliens (foreign-born who Legal Permanent have become Program/Benefits Residents (LPRs) Illegal Aliens citizens) TANF: Temporary States may opt to cover Not eligible Eligible Assistance for Needy after 5 years. Families (see chapter 3-10 Exceptions: military,* for explanation residents with 10-year of TANF) work history, and refugees/asylees are immediately eligible.

EITC: Earned Income Eligible Not eligible Eligible Tax Credit (see chapter 3-10 for explanation of EITC)93

Social Security Eligible Not eligible Eligible (See chapter 3-4 for Soc. Sec. explanation)

Medicare No restrictions on Not eligible Eligible (see chapter 3-6 for Part A (hospitalization Medicare explanation) coverage); not eligible for Part B until 5 years after becoming LPR *Active duty military personnel, veterans, and their families.

Issue 3: Insufficient Funds Provided for Workplace Enforcement Out of the estimated 12 million illegal aliens currently in the United States, an estimated 7.2 million have been absorbed into the U.S. workforce.94 Given the intensity of the current debate over illegal immigrants residing in the United States, a surprisingly small amount of funding is provided for workplace enforcement (i.e., investigating employment of illegal aliens by U.S. employers). According to a 2006 report to Congress:

While the amount of U.S. Border Patrol (USBP) resources almost doubled between FY1997 and FY2003, time spent on other enforcement activities increased only slightly, while the number of inspection hours decreased.....[I]n FY2003, the largest amount of staff time was devoted to locating and arresting criminal aliens (39%), followed by admin- istrative and non-investigative duties (23%) and alien smuggling investigations (15%). Only 4% was devoted to worksite enforcement (i.e., locating and arresting aliens working without authorization, and punishing employers who hire such workers) (emphasis added).95 03_2part.qxp 11/20/07 10:24 AM Page 142

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BACKGROUND: THE IMMIGRATION DEBATE • The number of foreign-born people residing in the U.S. is 37 million, or 12% of the population, a percentage similar to the early 20th century.74 • Of the foreign-born residents in the U.S., approximately one-third have become citizens, one-third are legal permanent residents, and one-third, an estimated 12 million, are illegal aliens resulting from aliens who fail to depart when their tem- porary visas expire as well as illegal entries.75 • There are two paths for the legal admission of noncitizens (“aliens”): Permanent (immigrant) admission under which aliens are accorded the status of Legal Per- manent Residents (LPRs). They are more commonly known as “green card” hold- ers and can apply (usually within 3–5 years) to become citizens. The second path is temporary (nonimmigrant) admission (tourism, study, temporary work).76 • U.S. immigration law reflects four objectives: (1) reuniting families; (2) addressing labor shortages; (3) providing refuge for people experiencing political, racial, or religious persecution; and (4) promoting diversity by admitting people from coun- tries with historically low rates of immigration to the United States.77 • Under current law, the annual immigration ceiling is 675,000 per year,78 which includes 480,000 family-sponsored immigrants, 140,000 employment-based immi- grants, and 55,000 diversity immigrants (with no more than 7% of the ceiling from any individual country).79 However, this is a flexible ceiling that permits an unlim- ited number of immediate relatives, and an unlimited number of refugees and asylees.80 • For example, in 2006, 1.27 million aliens were admitted as legal permanent resi- dents. Of this total, 581,000 were immediate relatives of U.S. citizens (spouses, par- ents, children), 222,000 were non-immediate relatives, 159,000 were employment sponsored (the cap can be exceeded with unused slots from other categories), 216,000 were refugees and asylum seekers, 44,000 were diversity admissions, and 43,000 were admitted on other grounds.81 • Each year, an estimated 400,000–700,000 unauthorized aliens successfully enter the United States. Each year approximately 1 million aliens are apprehended trying to enter the United States illegally.83 • As of 2005, about 56% (6.2 million) of the illegal immigrants residing in the United States were from Mexico, and 22% were from other Latin American countries.84 • Most Mexicans who enter the United States, legally or otherwise, come for jobs. According to the CIA’s latest analysis of the Mexican economy, “per capita income in Mexico is one-fourth that of the US [and] income distribution remains highly unequal.”85 Some have argued that NAFTA has been a catalyst for increased illegal immigration, although this is a subject of debate.86 • A majority of illegal immigrants have found a broad variety of work opportunities in the United States, cited by some as evidence of a labor shortage and the need for increasing the supply of temporary foreign workers, commonly referred to as guest workers.87 A recent analysis estimated unauthorized employment by sector (in 03_2part.qxp 11/20/07 10:24 AM Page 143

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2005) as follows: private households, 21%; food manufacturing, 14%; agriculture, 13%; furniture manufacturing, 13%, construction, 12%, textile, apparel and leather manufacturing, 12%, food services; 12%, administrative and support services, 11%; and accommodations, 10%.88 • The immigration reform debate is focused on the appropriate number of guest worker visas,89 how to tighten border security, and whether to offer an “earned legal- ization” opportunity to illegal aliens. Congress has debated various proposals for “earned legalization” that would require illegal aliens to document some combina- tion of: physical presence in the United States over a period of time, employment for a certain period, payment of income taxes, family ties, or education and training. • Opponents of earned legalization view it as unjustified amnesty for lawbreakers and encouragement for others to immigrate illegally. As evidence, they point to the 1986 Immigration Reform and Control Act, signed into law by President Reagan, which legalized nearly 2.7 million illegal aliens who had entered the United States before 1982, and was followed by an even larger wave of illegal immigrants.90 • Supporters of earned legalization argue that it is the absence of a sufficient guest worker program, together with the economic needs of employers and workers that have resulted in 12 million illegal aliens living in the shadows. In addition, they point to the national security benefits of knowing the identities of currently unknown individuals in the country and of legalizing the inflow of temporary workers—thereby freeing border personnel to concentrate on terrorist threats.91

Issue 4: Has US-VISIT Been Effective in Stopping Suspect Individuals at the Borders and Tracking Their Departure from the Country? According to a recent GAO report to Congress:

After investing about $1.3 billion over 4 years, DHS has delivered essentially one-half of US-VISIT....[O]perational entry capabilities have reportedly produced results....How- ever, DHS still does not have the other half of US-VISIT (an operational exit capability) despite the fact that its funding plans have allocated about one-quarter of a billion dol- lars since 2003 to exit-related efforts....The prospects for successfully delivering an oper- ational exit solution are as uncertain today as they were 4 years ago....[T]he longer the department goes without exit capabilities, the more its ability to effectively and efficiently perform its border security and immigration enforcement missions will suffer....DHS immigration and customs enforcement entities will continue to spend limited resources on investigating potential visa violators who have already left the country.96

Issue 5: Has CBP Been Effective at Stopping Radioactive Materials at the Border? According to GAO undercover investigators, as reported in July 2006, they were able to cross the northern and southern borders “with enough radioactive sources in the trunks of their 03_2part.qxp 11/20/07 10:24 AM Page 144

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vehicles to make two dirty bombs.”97 (Dirty bombs, rather than causing a nuclear explosion, use a mix of explosives and radioactive material to irradiate people in proximity to the explo- sion sight; also known as radiation dispersal devices, or RDDs.)

Issue 6: The USCIS Backlog USCIS is responsible for adjudicating (i.e., approving or denying) millions of applications each year for citizenship, legal permanent resident status, employment authorization and refugee or asylum status. In FY 2000, USCIS’s beleaguered predecessor agency, the INS, had an appli- cation backlog of about 3.8 million.98 Backlogs and long waiting periods for adjudications can cause major disruptions for immigrants, their families, and prospective employers. By June 2005, USCIS estimated it had reduced the backlog to about 1.2 million applica- tions. However, it is unclear how accurate that estimate is because, according to GAO, USCIS’s data systems cannot provide reliable data on how long an application has been pending.99 On May 30, 2007, USCIS published a new fee schedule for immigration and naturaliza- tion adjudications that would increase fees by an average of 88%—the amount necessary, according to USCIS, to avoid further backlogs. The new fees follow from a policy established two decades ago for the INS to become a fee-based operation. Announcement of the near doubling of fees is generating renewed debate about whether USCIS operations should be covered by appropriations, fees, or a combination of the two.100

The U.S. Coast Guard

A few armed vessels, judiciously stationed at the entrances of our ports, might at small expense be made useful sentinels of the laws.—Alexander Hamilton, Federalist Paper No. 12

In a Nutshell The U.S. Coast Guard, with an FY 2007 budget of $8.5 billion and nearly 40,000 military and 6,000 civilian employees, is the lead agency for the maritime component of homeland secu- rity and is also responsible for the non–homeland security functions of search and rescue, marine safety, navigation support, ice operations, environmental protection, marine resources, law enforcement and drug interdiction.102

Background The United States Coast Guard (the “Service”), one of the uniformed military services of the United States, was moved from the Department of Transportation (DoT) into the new Department of Homeland Security (DHS) in 2003. Despite its incorporation into DHS, the Coast Guard still operates as part of the Navy during times of war, the most recent example being the Iraq War. The Coast Guard’s homeland security duties include securing 95,000 miles of U.S. coast- line, 360 ports and waterways, and safeguarding maritime transportation. The transfer of the Coast Guard to DHS, unlike the transfer of FEMA discussed earlier, was met with little con- troversy. There was broad agreement that the increased homeland security role was well suited 03_2part.qxp 11/20/07 10:24 AM Page 145

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FIGURE 3-2.3 Major Coast Guard FY 2007 Expenditures by Mission

Defense Readiness 10% Search & Rescue 11%

Marine Safety 10% Homeland Security: Ports, Waterways, Coast 20%

Aids to Navigation 16% Migrant Interdiction 5% Ice Breaking 2% Drug Interdiction, Law Enforcement 12% Environmental & Oil Spill Fund 14%

Data source: Office of Management and Budget.

to the Coast Guard’s military and national defense duties. Due to those increased responsi- bilities, the Coast Guard’s personnel increased by 5,000 between 2001 and 2006, along with a 65% increase in its operating budget and a tripling of its capital acquisition budget.103 In addition to its homeland security responsibilities, the Coast Guard’s broad mission includes law enforcement, aids to navigation, search and rescue, marine inspection and safety, migrant interdiction, licensing of U.S. merchant marine personnel, marine environmental protection, regulating deepwater ports, and ice breaking. The broad responsibilities of the Coast Guard evolved considerably during its lengthy history. The earliest predecessor of the Coast Guard was the Revenue Marine, established in 1790 at the urging of Alexander Hamilton as a Federal maritime law enforcement agency. The fleet of “cutters,” being the only armed vessels at the time, also performed military duties.104 After the sinking of the Titanic in 1912, the Revenue Cutter Service (the successor to the Rev- enue Marine) took over the polar ice breaking duties of the Navy, which did not have the resources to perform both national defense and nondefense duties. In 1915, the Revenue Cutter Service was combined with the U.S. Lifesaving Service to create the Coast Guard (which was placed in the Department of Treasury, due to the origins of the Cutter Service as the Revenue Marine). Later on, the U.S. Lighthouse Service, the Steamboat Inspection Service, and the Bureau of Navigation were also brought into the Coast Guard.105 In 1967, the Coast Guard became part of the Department of Transportation where it was located until the recent move to DHS.106 Today’s Coast Guard has nearly 40,000 active duty personnel, nearly 8000 reservists, more than 6,000 civilian workers, and more than 30,000 auxiliarists.107 Coast Guard servicemen, as a branch of the military, are eligible for military health and veterans benefits (see chapters 3-1 and 3-3). During Hurricane Katrina, the Coast Guard was credited as one of the few successful fed- eral responses—not only in rescuing more than 33,000 people but also in responding to more than a hundred oil spills.108 03_2part.qxp 11/20/07 10:24 AM Page 146

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Issue: The Deepwater Project The Service is in the midst of a 25-year, $24 billion major acquisition program called “Deep- water” to modernize the Coast Guard with 91 new ships, 124 small boats, 195 new or rebuilt helicopters, and 40 unmanned aerial vehicles (UAVs).109 The aim is to acquire a fully inte- grated fleet equipped with modern surveillance, intelligence, reconnaissance, and communi- cations capabilities. To date, it is the largest and most complex acquisition in Coast Guard history.110 The Deepwater project is unusual in that the Coast Guard contracted with a consortium of private companies led by Lockheed Martin Corp. and Northrop Gruman Corp. to handle everything from designing and building ships, planes, and information systems, to manage- ment of the entire multiyear project. According to the DHS Inspector General, “the Coast Guard’s technical role was limited to that of an expert ‘advisor.’”111 The Deepwater project, and particularly the outsourcing of management to the contractors, has been the subject of considerable criticism on Capitol Hill. In a June 2007 report to Congress, the GAO reported that “five years into the Deepwater contract, some assets have been delivered . . . but several other assets have encountered significant problems. . . . For example, the Vertical and Land- ing Unmanned Aerial Vehicle has experienced delays as the Coast Guard assesses alternatives; the Fast Response Cutter ...experienced design problems and the Coast Guard suspended all work, and the first two hulls of the National Security Cutter have structural design issues.”112 As of summer 2007, legislation was moving through Congress to overhaul Deepwater including a prohibition on a private company managing the program.113

Domestic Nuclear Detection Office (DNDO) and Defending against Weapons of Mass Destruction In a Nutshell DNDO, with an FY 2007 budget of $581 million, is dedicated to research, development, and acquisition of nuclear detection technologies to prevent smuggling of nuclear bomb making or other radiological materials at U.S. ports of entry. In general, six departments of the Federal Government have FY 2007 funding for protecting the homeland from terrorists acquiring and using nuclear and other weapons of mass destruction (WMDs), amounting to $3.3 billion. Activities include assisting Russia and other States of the former Soviet Union with improving security at various sites, nuclear weapons storage and disposal, chemical weapons destruc- tion, biosecurity, employing nuclear scientists, various nonproliferation initiatives, and detect- ing nuclear bomb making and other WMD materials at U.S. ports of entry.

Background Preventing nuclear and other radioactive material from being smuggled into the United States is a key national security objective because of the catastrophic implications of terrorists det- onating an atomic bomb or, to a lesser extent, a dirty bomb (a conventional bomb that spreads radioactive material). When DHS was established, CBP managed an effort to develop and 03_2part.qxp 11/20/07 10:24 AM Page 147

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deploy radiation detection technology. In April 2005, the President established DNDO, with a mission to support development and acquisition of a full range of radiation technology devices including fixed, mobile, backpack, and handheld devices to be deployed at the nation’s ports of entry, as well as in high-risk urban areas. Current nuclear portal monitors are rudimentary and cannot distinguish between harmless radiological materials, such as naturally occurring material in ceramic tile, and dangerous nuclear materials such as highly enriched uranium (HEU), which is used to build nuclear bombs. In July 2006, DHS announced that it had awarded contracts to three vendors to continue development and purchase $1.2 billion worth of new portal monitors over 5 years.

Issue: GAO Concerns about DNDO Effectiveness In a highly critical letter to congressional appropriators in October 2006 evaluating the DHS contracts, the GAO reported that DNDO’s decision to purchase the new equipment could not be justified, given the agency’s own test results. According to the GAO, the Nuclear Detection Office “instead relied on potential future performance to justify the purchase.” Performance tests showed that the ability of the new radiation detection monitors to correctly identify HEU was “limited.” GAO also reported that DNDO “did not consider how well [the] new portal monitor technology can correctly detect or identify other dangerous radiological or nuclear materials.”The report concluded that DNDO did not focus on the technology’s effectiveness at identifying nuclear material but instead “focused its analysis on reducing the time neces- sary to screen traffic at border check points and reduce the impact of any delays on com- merce.”114 GAO reiterated these alarming findings in reports to Congress in March 2007. In short, in the rush to deploy “new technology,” DNDO is replacing currently ineffec- tive nuclear detection technology with higher-priced ineffective technology.

Since 1993, the Departments of Defense and Energy have worked to improve security at sites housing weapons-grade nuclear material and warheads in Russia and other coun- tries. Following is an overview of FY 2007 spending on nuclear security and nonprolif- eration by DoD, DoE, DHS, and the State and Justice Departments. (Figure 3-2.7 compares this spending with other defense spending and the estimated cost of securing all fissile material worldwide.)

FY 2007 Spending to Defend the U.S. from Terrorists Acquiring and Using Nuclear and Other Weapons of Mass Destruction

1 (DoD) Nunn-Lugar Cooperative Threat Reduction (CTR) $371 million115 program 2. (DoE) Nuclear Nonproliferation Programs $1.621 billion116 3. (DHS) Science and Technology, DNDO, Port Security $1.255 billion117 4. (State) Global Threat Reduction Program $182 million118 5. (DOJ) Defending against Catastrophic Threats $40 million119 TOTAL $3.469 billion 03_2part.qxp 11/20/07 10:24 AM Page 148

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DoD/CTR Program: The Nunn-Lugar CTR program is focused on securing and dis- mantling WMDs in Russia and other countries of the former Soviet Union (FSU). Recent projects include construction of a chemical weapons destruction facility at Shchuch’ye, Russia, and security upgrades at Russian warhead storage sites; and there are plans to upgrade security at vulnerable borders and expand the Biological Threat Reduction program for FSU States (except Russia).

DOE/Nuclear Nonproliferation: Addresses the danger that hostile nations or terrorist groups may acquire WMD or weapons-usable material or production technology or WMD expertise. Major elements of the program include: R&D on detection systems; international security efforts to control export of technology useful for WMDs; reduc- ing the potential for diversion of nuclear warheads and nuclear materials from Russia and other countries of proliferation concern; screening of containerized cargo at strate- gic international seaports; assisting Russia in ceasing its production of weapons-grade plutonium production by providing replacement power production capacity; and a vari- ety of global threat reduction initiatives.

Recommended Sources for More Information on Nuclear Detection at Ports of Entry and Protecting the U.S. from Terrorist WMDs

• GAO: “DHS’ Decision to Procure and Deploy the Next Generation of Radiation Detection Equip- ment Is Not Supported by Its Cost-Benefit Analysis,” GAO-07-581T, March 14, 2007; “Combating Nuclear Smuggling: DNDO Has Not Yet Collected Most of the National Laboratories’ Test Results on Radiation Portal Monitors in Support of DNDO’s Testing and Development Program,”GAO-07- 347R, March 9, 2007; “Nuclear Nonproliferation: Progress Made in Improving Security at Russian Nuclear Sites, but the Long-term Sustainability of U.S.-Funded Security Upgrades Is Uncertain,” GAO-07-404, February 2007; • Partnership for Global Security: Publications on Federal appropriations for nonproliferation and other WMD-related programs, www.partnershipforglobalsecurity.org. • Nuclear Threat Initiative: www.nti.org.

Science and Technology Directorate: R&D on Chemical, Biological, and Other Threats, and Interoperability In a Nutshell DHS’s Science and Technology Directorate (S&T), with an FY 2007 budget of $853 million, directs R&D on chemical and biological agents and other threats, and R&D to achieve com- munications interoperability (addressing the incompatibility of most police, fire, and emer- gency response radios). (R&D on nuclear detection technologies are handled by the Domestic Nuclear Detection Office [DNDO)],discussed earlier.) S&T and DNDO together spend more than a billion dollars per year on homeland security research. S&T also coordinates homeland security–related research at other Federal departments and agencies. 03_2part.qxp 11/20/07 10:24 AM Page 149

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Background R&D priorities. S&T’s largest appropriations for R&D in FY 2007 include $350 million for biological countermeasures, $87 million for explosives countermeasures, $60 million for chemical countermeasures, $40 million to counter shoulder-fired missiles, and $27 million for communications interoperability. Interoperability and SAFECOM. The 9/11 Commission observed that “the inability to communicate was a critical element at the World Trade Center, Pentagon, and Somerset County, Pennsylvania, crash sites, where multiple agencies and multiple jurisdictions responded. The occurrence of this problem at three very different sites is strong evidence that compatible and adequate communications among public safety organizations at the local, state, and federal lev- els remains an important problem.”120 Ensuring communications among various first respon- ders using different types of wireless radio communications is called “interoperability.” The continuing urgency to achieve interoperability as quickly as possible was underscored during the response to Hurricanes Katrina and Rita when—similar to the 9/11 tragedy four years earlier—police, fire, and other rescue workers were once again unable to communicate. It was not until the Army was deployed to assist with rescue operations that the communica- tions situation improved. SAFECOM, a communications program located in the S&T Directorate,121 funds R&D on interoperability, as well as providing “guidance, tools, and templates” on communications- related issues to State, local, and Federal emergency response agencies.122 While SAFECOM is located in the S&T Directorate, most of its functions are now under the overall direction of a reinvigorated FEMA, as called for in the post-Katrina legislation.123 The Federal Communications Commission and Commerce Department also play impor- tant roles in addressing the urgent need for interoperable communications. In early 2009, the FCC is required to allocate 24 MHz of spectrum to public safety. According to CRS, “the chan- nels designated for public safety are among those currently held for TV broadcasters; they are to be cleared as part of the move from analog to digital television.”When the vacated chan- nels are auctioned by the FCC, up to a billion dollars of the proceeds are to be made available for grants by the NTIA124 at the Commerce Department for public safety agencies to take advantage of the new public safety channels at 700 MHz.125 Coordinating Homeland Security R&D at Other Agencies. S&T’s roles in coordinating homeland security–related R&D at other Federal departments and agencies includes NIH’s work on medical countermeasures for exposure to weapons of mass destruction, DoD’s work on countering chemical and biological threats, the Agriculture Department’s work on the security of the U.S. food supply, the National Science Foundation’s work on protection of crit- ical infrastructure and cybersecurity, EPA’s work on toxic materials research, DoE’s work on DNA-based diagnostics, NASA’s work on aviation safety and remote sensing, and the National Institute of Standards’ work on protecting information systems. Total Federal government R&D related to homeland security is estimated at about $5 billion for FY 2007.126

Issue: Interoperability In an April 2007 report to Congress, GAO noted that $2.15 billion in grant funding had been awarded to states and localities for communications interoperability. However, GAO found 03_2part.qxp 11/20/07 10:24 AM Page 150

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that the States they reviewed (New York, Kentucky, Oregon, and Florida) “had generally not used strategic plans to guide investments toward broadly improving interoperability (and that) no national plan was in place to coordinate investments across states.”GAO concluded that “until DHS takes a more strategic approach to improving interoperable communications ...progress by states and localities in improving interoperability is likely to be impeded.”127

National Protection and Programs Directorate: Infrastructure Protection, Information Security, and Emergency Communications In a Nutshell DHS’s National Protection and Programs Directorate, with a $941 million budget in FY ’07, funds the US-VISIT program, which monitors entry and exit of aliens, and programs in sup- port of infrastructure protection, cybersecurity, protecting national telecommunications infra- structure, and emergency communications.

Background The US-VISIT entry-exit data system, as discussed in more detail earlier under “Customs, Border Protection, and Immigration,”was established to use biometrics (finger scans and dig- ital photography) to track entries and exits from the country. Critical Infrastructure Protection. The specific goals of infrastructure protection activ- ities are to identify critical infrastructure, assess risk, and provide leadership on preparedness for attacks on critical infrastructure. Cybersecurity. DHS seeks to identify critical points in our nation’s information infra- structure that could be exploited by terrorists, and facilitate cooperation between government and private sector cybersecurity experts to address potential threats. Emergency Communications. Originally within the Department of Defense, the National Communications System (NCS) in DHS’s Protection and Programs Directorate “supports and promotes the ability of emergency response providers and federal officials to continue to communicate in the event of natural disasters, acts of terrorism, or other man-made disas- ters.”128 For example, NCS coordinates public and private sector efforts to restore communi- cations in the aftermath of a disaster.129 (As already discussed, research and development activities on interoperability are funded by the Science and Technology Directorate, with sig- nificant direction from FEMA.)

United States Secret Service In a Nutshell The United States Secret Service, with an annual budget of $1.5 billion and 5,000 employees, protects the President, Vice President, their families, former Presidents, presidential candi- dates, and foreign heads of state. The Service also investigates financial crimes including coun- terfeiting of currency or government bonds, money laundering, bank fraud, credit card fraud, identity theft, and computer-based attacks on our nation’s financial system. 03_2part.qxp 11/20/07 10:24 AM Page 151

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Background In 1865, the Civil War ended and half the money supply in the United States was counterfeit. To restore faith in American currency, the Department of the Treasury established the United States Secret Service (USSS) to stop the spread of counterfeit dollars.130 A few years later, the USSS was tasked with stopping fraud against the U.S. government, and following the assassi- nation of President William McKinley in 1901, the USSS formally became responsible for the protection of the President. The Service is responsible for protecting, and investigating threats against the President, Vice President, their families, former Presidents, and foreign heads of state.131 In 1968, follow- ing the assassination of Senator Robert F. Kennedy, the Service began protecting presidential candidates. For the 2008 presidential election, Congress appropriated $18.4 million for can- didate nominee protection. In 1997, Congress passed legislation that restricted protection of former Presidents and their families to 10 years after leaving office. President Clinton was the last president to receive lifetime protection, making Hillary Clinton the only Senator with Secret Service protection. Protection costs for former presidents and their families are not disclosed.132 In addition to its protection services, the USSS has substantial federal law enforcement responsibilities, working in cooperation with FBI and the US Marshals. The service is active in uncovering counterfeiting and other financial crimes; countering identity theft; investi- gating computer fraud; and protecting the nation’s financial, banking and telecommunica- tions infrastructure against computer-based attacks. In 2002, the Secret Service was transferred from the Treasury to the Department of Homeland Security.133 The Service was given the authority to be “maintained as a distinct entity,”134 which allows the Service to carry on with duties and jurisdiction it had prior to the move. While the two primary responsibilities of the service have remained the same, the ser- vice now plays a greater role in counterterrorism and antiterrorist financing.135

Has DHS Improved Our Nation’s Security?

Considered collectively, the 9/11 hijackers: included known al Qaeda operatives who could have been watchlisted; presented passports manipulated in a fraudulent manner; presented passports with suspicious indicators of extremism; made detectable false statements on visa applications; made false statements to border officials to gain entry into the United States; and violated immigration laws while in the United States.—9/11 Commission136

The Department of Homeland Security was established in response to 9/11. Since that time, the Department has been reorganized nine times.137 The core issue with respect to the Depart- ment of Homeland Security is whether its establishment and subsequent reorganizations, along with the infusion of billions of dollars in new and increased resources, has effectively addressed the breakdown in the system highlighted by the 9/11 Commission. Thus far, assess- ments of DHS performance have been highly critical:

• October 2002: “[A] year after 9/11, America remains dangerously unprepared to prevent and respond to a catastrophic attack on U.S. soil.”138—Rudman-Hart Commission 03_2part.qxp 11/20/07 10:24 AM Page 152

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FIGURE 3-2.4 Organizational Overview of DHS

Secretary

Citizenship Coast Customs Federal Immigration Secret Transportation and Guard and Emergency and Service Security Immigration Border Management Customs Administration Services Protection Agency Enforcement

• September 2005: “Despite testimony from the Director of Central Intelligence that the chemical industrial infrastructure is vulnerable to a terrorist attack, no Federal security measures have been established for the chemical sector.”139—House-Senate conference report for FY 2006 • December 2005: “The Federal government received failing and mediocre grades yester- day from the former Sept. 11 commission, whose members said in a final report that the Bush Administration and Congress have balked at enacting numerous reforms that could save American lives and prevent another terrorist attack on U.S. soil.”140—Washington Post. • January 2006: “The administration made pursuit of weapons of mass destruction in Iraq the front line of its counter-proliferation strategy. Since failing to find any such weapons, officials now are focused on interdicting suspected weapons shipments at sea, breaking up black markets, and stopping North Korea and Iran from developing big stores of nuclear weapons. But those initiatives will hardly make a dent in what most nonproliferation experts see as the greatest potential source of deadly weapons for terrorists: the thousands of so-called ‘loose nukes’ scattered around the states of the former Soviet Union; many of these weapons aren’t secured, and experts fear that terrorists could steal them or buy them on the black market.”—National Journal141 • May 2006: DHS has still not set priorities for critical infrastructure needing protection and “the private sector has not been effectively integrated into response and recovery planning for major disasters.”142—Council on Foreign Relations • May 2006: Most critical infrastructure, about 80%, is privately held, including civilian nuclear power plants, chemical plants, electric and other utilities, and facilities for pro- duction, storage and distribution of food.143 According to a senior congressional aide, DHS has a “consistent pattern for relying on the private sector to meet security needs and then providing no funds, no regulations, no standards, no analytical framework to actu- ally invest in security. So, no chemical security grants or regulations, no grants to secure our water systems, almost no funds even to assess the vulnerability of water systems and other utilities. They have a list of critical infrastructure ...but they have not provided any funds, or security standards to actually build fences, put up cameras or train guards.”144 03_2part.qxp 11/20/07 10:24 AM Page 153

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• May 2006: “[T]he Katrina catastrophe revealed ...confusion delay, misdirection, inac- tivity, poor coordination, and lack of leadership....All ofthis unfolded nearly four years after the terror attacks of September 11, 2001; after a massive reorganization . . . and bil- lions of dollars of expenditures.”—Senate Committee on Homeland Security and Gov- ernmental Affairs145 • August 2006: “Five years after September 11, 2001, the United States remains dangerously unprepared to deal with the aftermath of a terrorist attack involving nuclear weapons, dirty bombs or explosions at nuclear power plants. . . . We found that the U.S. govern- ment lacks a workable plan to respond to the likely medical needs. Thousands of Amer- ican civilians injured by a nuclear terrorist attack could survive with better preparedness.” Physicians for Social Responsibility146 • September 2006: DHS “has fallen woefully short in efforts to equip emergency respon- ders with interoperable radios and met only half of its goals of building a compute net- work to track foreign visitors.147 Last year’s bungled federal response to Hurricane Katrina, moreover, cast lingering doubts on the government’s ability to respond to future crises.”—CQ Weekly148 • December 2006: “A multibillion-dollar effort to modernize the Coast Guard’s fleet has suffered delays, cost increases, design flaws and, most recently, the idling of eight 123-foot patrol boats that were found to be not seaworthy after an $88 million refurbishment.... Congressional critics warn that early mistakes in the 25-year modernization program, called Deepwater. . .are hobbling the service’s transformation into a front-line homeland security force.”—Washington Post149 • January 2007: “The Department of Defense must be prepared to respond to and miti- gate the effects of weapons of mass destruction (WMD) attacks at home and abroad. . . . Most Army units tasked with providing chemical and biological defense support are not adequately staffed, equipped, or trained to perform their mission....Most of the Army’s chemical and biological units, particularly in the National Guard and Reserve, are report- ing the lowest readiness rating.”—GAO150 • March 2007: “Experts and government documents suggest that, absent a major pre- paredness push, the U.S. response to a mushroom cloud could be worse than the deba- cle after Hurricane Katrina ...costing thousands of lives. ‘The U.S. is unprepared to mitigate the consequences of a nuclear attack,’ Pentagon analyst John Brinkerhoff con- cluded in a July 31, 2005 draft of a confidential memo to the Joint Chiefs of Staff. ‘We are unable to find any group or office with a coherent approach to this very important aspect of homeland security.’”—McClatchy Newspapers,151 emphasis added • April 2007:“Until DHS takes a more strategic approach to improving interoperable com- munications, such as including in its decision making an assessment of how grant requests align with statewide communications plans, and conducts a thorough assessment to identify strategies to mitigate obstacles between federal agencies and state and local agencies, states and localities are likely to make limited progress in improving interoperability.”—GAO152 • April 2007: “TSA and CBP ...do not have a systematic process in place to share infor- mation that could be used to strengthen the department’s efforts in securing inbound air cargo.”—GAO153 • May 2007: “GAO designated implementing and transforming DHS as high risk in 2003 because DHS had to transform and integrate 22 agencies—several with existing program 03_2part.qxp 11/20/07 10:24 AM Page 154

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and management challenges—into one department, and failure to effectively address its challenges could have serious consequences for our homeland security. Despite some progress, this transformation remains high risk....DHS must overcome continued chal- lenges related to such issues as cargo, transportation, and border security; systematic vis- itor tracking; efforts to combat the employment of illegal aliens; and outdated Coast Guard asset capabilities.”—Comptroller General of the United States David M. Walker154 • June 2007: “Roughly 75 percent of all cargo entering the country is not screened for nuclear material.”—Senate Appropriations Committee155 • July 2007: “The Bush Administration has failed to fill roughly a quarter of the top lead- ership posts at the Department of Homeland Security, creating a ‘gaping hole’ in the nation’s preparedness for a terrorist attack or other threat, according to a congressional report.”156—Washington Post

Finally, consider the sobering chart presented in figure 3.2-5, comparing:

• Resources appropriated in FY 2007 for weapons systems (many of which were conceived to maintain technological superiority over the Former Soviet Union);157 • FY 2007 appropriations for Operation Iraqi Freedom;158 • FY 2007 funds appropriated to defend against catastrophic terrorist threats;159 and • The estimated amount of funds required to secure the world’s entire supply of fissile material (the essential ingredient required to build a nuclear bomb).160

If the 9/11 Commission is correct that “the greatest danger of another catastrophic attack in the United States will materialize if the world’s most dangerous terrorists acquire the world’s most dangerous weapons,”we have a serious imbalance to correct in the allocation of national security resources.161

Since the advent of the Nuclear Age, everything has changed save our modes of thinking and we thus drift toward unparalleled catastrophe.—Albert Einstein162

Notes 1. In Part III of this book, all dollar amounts refer to “budget authority” unless otherwise noted. Budget authority is the amount appropriated by Congress in a given year. For a discussion of “budget authority” and “outlays” see chapter 2-9. The homeland security budget authority number leading off this chapter includes ’07 supplemental funds enacted on May 25, 2007 (H.R. 2206, 110th Congress). The sum of program activity described later exceeds this total, because the DHS total is offset in the budget by various fees (e.g., TSA airport fees, flood insurance premiums, and immigration application fees). In budget-speak the fees are called “offsetting receipts.” 2. Government Accountability Office, “Homeland Security: Management Challenges Remain in Transforming Immigration Reforms,”GAO-05-81 (Washington, D.C.: Author, October 2004), 7. 3. Congressional Budget Office, “Federal Funding for Homeland Security: An Update” (Washing- ton, D.C.: Author, July 20, 2005), 5. 4. This CBO report, as of June 2007, had not been updated. 5. See also the provisions of the Security and Accountability for Every (SAFE) Port Act of 2006, P.L. 109-347. The SAFE Port Act called for interagency operational centers at high-risk ports, port security 03_2part.qxp 11/20/07 10:24 AM Page 155

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FIGURE 3-2.5: Comparing the 2007 Budget for Defending against Catastrophic Terrorist Threats and the Potential Costs of Securing All Fissile Material Worldwide versus 2007 Funding for Weapons Systems and the War in Iraq

(FY 2007 Budget Authority in billions of dollars) 250

200

150

100

50

0 2007 BUDGET: 2007 BUDGET: 2007 BUDGET: ESTIMATED Weapons "Operation Iraqi Defending TOTAL Systems Freedom" Against COST to Secure Nuclear Terrorism All Nuclear and other Bomb-Making Catastrophic (Fissile) Material Threats Worldwide

exercise programs, an expansion of foreign port security assessment, and enhanced technologies for scanning containers. 6. Shawn Reese, “FY 2006 Homeland Security Grant Guidance Distribution Formulas” (Washing- ton, D.C.: Congressional Research Service, December 9, 2005); and interview with senior congressional staffer. 7. Keith Bea, “Transfer of FEMA to the Department of Homeland Security: Issue for Congressional Oversight,”RL31670 (Washington, D.C.: Congressional Research Service, December 17, 2002), 12. 8. Pursuant to general reorganization authority granted the President in the Reorganization Act of 1949, as amended (P.L.95-17, 91 Stat. 29-35, 5 U.S.C. 901), reorganization plans submitted to the Con- gress for consideration were implemented if Congress did not pass resolutions of disapproval within 60 days. This reorganization authority expired in 1984. 9. Eric Holdeman, “Destroying FEMA,” Washington Post, August 30, 2005, A17. 10. Specifically, the Robert T. Stafford Disaster Relief and Emergency Act, 42 U.S.C. §5121 et seq. (Stafford Act) provides in section 5170 that “all requests for a declaration by the President that a major disaster exists shall be made by the Governor of the affected State. Such a request shall be based on a finding that the disaster is of such severity and magnitude that effective response is beyond the capa- bilities of the State and the affected local governments and that Federal assistance is necessary” (empha- sis added). Similar language is included in section 5191 of the Stafford Act for the declaration of an 03_2part.qxp 11/20/07 10:24 AM Page 156

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“emergency.” See Elizabeth Bazan, “Robert T. Stafford Disaster Relief and Emergency Assistance Act: Legal Requirements for Federal and State Roles in Declarations of an Emergency or a Major Disaster,” RL33090 (Washington, D.C.: Congressional Research Service, October 19, 2005); and Keith Bea, “Fed- eral Stafford Act Disaster Assistance: Presidential Declarations, Eligible Activities, and Funding,”RL33053 (Washington, D.C.: Congressional Research Service, March 6, 2007). 11. Congress generally appropriates budget authority to the Disaster Relief Fund on an as-needed basis, and usually with an emergency designation that exempts the funds from annual limitations on discretionary spending. In other words, the Federal government does not put money aside for emer- gencies because to do so would either increase projected deficits or deplete funds available for other purposes. 12. Source: Keith Bea, “Transfer of FEMA to the Department of Homeland Security: Issues for Con- gressional Oversight,” RL31670 (Washington, D.C.: Congressional Research Service, December 17, 2002), 12. 13. Emergency Food and Shelter program. See http://efsp.unitedway.org/. 14. See Nonna Noto, Steven Maquire, “FEMA’s Community Disaster Loan Program,” RL33174 (Washington, D.C.: Congressional Research Service, June 28, 2007). 15. See U.S. Senate Committee on Homeland Security and Governmental Affairs, “Hurricane Kat- rina: A Nation Still Unprepared” (Washington, D.C.: Author, May 2006). 16. Orlando Sentinel, “Can FEMA handle the hurricanes of 2006,”May 2, 2006. 17. U.S. Senate Committee on Homeland Security and Governmental Affairs, “Hurricane Katrina: A Nation Still Unprepared,”May 2006, 2. 18. House Select Bipartisan Committee to Investigate the Preparation for and Response to Hurri- cane Katrina, “A Failure of Initiative” (Washington, D.C.: U.S. House of Representatives, February 15, 2006), 1. 19. Statement of David M. Walker, Comptroller General of the United States, “Hurricane Katrina: GAO’s Preliminary Observations Regarding Preparedness, Response, and Recover,” GAO-06-442T (Washington, D.C.: Government Accountability Office, March 8, 2006), highlights. 20. Statement of Sharon Pickup, Director, Defense Capabilities and Management, “Hurricane Kat- rina: Better Plans and Exercises Need to Guide the Military’s Response to Catastrophic Natural Disas- ters,”GAO-06-808T (Washington, D.C.: Government Accountability Office, May 25, 2006), highlights. 21. HR 5441, the Post-Katrina Management Reform Act of 2006, Title VI of the FY 2007 Homeland Security Appropriations bill, P.L. 109-295 (October 4, 2006). 22. Keith Bea, “Federal Emergency Management Policy Changes after Hurricane Katrina: A Sum- mary of Statutory Provisions,”RL33729 (Washington, D.C.: Congressional Research Service, March 6, 2007), 9-13. 23. Bea, “Federal Emergency Management Policy Changes after Hurricane Katrina,”Keith Bea, “Fed- eral Emergency Management Policy Changes after Hurricane Katrina: A Summary of Statutory Provi- sion,”RL33729 (Washington, D.C.: Congressional Research Service, March 6, 2007), 9–13.23. 24. This is part of a larger trend by the Bush Administration to declare, upon signing bills, that they object to specific provisions on constitutional grounds and do not feel obliged to comply with the pro- visions. See T. J. Halstead, “Presidential Signing Statements: Constitutional and Institutional Implica- tions,”RL33667 (Washington, D.C.: Congressional Research Service, April 13, 2007). 25. The costs, broken down, are as follows: Emergency Supplemental Appropriation (September 2, 2005) P.L.109-61: $10.5 billion; Emergency Supplemental Appropriation (September 8, 2005) P.L.109- 62: $51.8 billion; Emergency Supplemental Appropriations (December 30, 2005) P.L.109-148: $5.2 bil- lion; Emergency Supplemental Appropriation (June 15, 2006) P.L. 109-234: $19.3 billion; Emergency Supplemental Appropriation (May 25, 2007) P.L. 110-28: $6.3 billion; Mandatory (Entitlement) Spend- ing and Tax Relief: $35.7 billion. Source: Senate Budget Committee Minority Staff, “Senate Budget Com- mittee Releases Updated Tally of Hurricane-Related Spending,”June 5, 2007. See also Richard Skinner, Inspector General of DHS, Statement before the House Committee on Homeland Security, February 7, 2007; Matt Fellowes and Amy Liu, “Federal Allocations in Response to Katrina, Rita and Wilma,”(Wash- ington, D.C.: Brookings Institution, March 21, 2006); and Keith Bea, “Emergency Supplemental Appro- 03_2part.qxp 11/20/07 10:24 AM Page 157

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priations for Hurricane Katrina Relief,” RS22239 (Washington, D.C.: Congressional Research Service, August 22, 2006), 1–2. 26. Stanley Czerwinski, “Preliminary Information on Rebuilding Efforts in the Gulf Coast,” GAO- 07-809R (Washington, D.C.: Government Accountability Office, June 29, 2007), 3–4. 27. CRS reports pertaining to Hurricane Katrina include the following report numbers: RS22269, RS22233, RL33082, RL33084, RL33104, RL33236, RS22280, RS22344, RS22282, RS22358, and RS22264. To access the reports, go to http://opencrs.com or http://www.pennyhill.com. 28. “Testimony: Challenges Facing the National Flood Insurance Program,”October 18, 2005. 29. Rawle O. King, “Federal Flood Insurance: The Repetitive Loss Problem” (Washington, D.C.: Con- gressional Research Service, June 30, 2005). 30. Typically referred to as “flood risk management.”See Nicole T. Carter, “Flood Risk Management,” RL33129 (Washington, D.C.: Congressional Research Service, October 26, 2005). 31. www.floodsmart.gov. 32. GAO, “Testimony: Challenges Facing the National Flood Insurance Program,”October 18, 2005. 33. “Properties that suffer repeated flooding but generally pay subsidized flood insurance rates—so- called repetitive-loss properties—constitute a significant drain on NFIP resources. These properties account for roughly 1 % of properties insured under the NFIP,but account for 25 % to 30 % of all claim losses.”GAO, “Testimony: Challenges Facing the National Flood Insurance Program,”October 18, 2005. 34. Congress Daily, “Shelby Sees FEMA’s Red Ink and Suggest and Overhaul,” National Journal,Jan- uary 25, 2006. 35. See Rawle O. King, “Federal Flood Insurance: The Repetitive Loss Problem,” RL32975 (Wash- ington, D.C.: Congressional Research Service, June 30, 2005). 36. Nicole T. Carter, “Flood Risk Management: Federal Role in Infrastructure,”RL33129 (Washing- ton, D.C.: Congressional Research Service, October 26, 2005), 8. 37. National Commission on Terrorist Attacks upon the United States, The 9/11 Commission Report (New York: Norton, 2004), 385. 38. P.L. 107-71. 39. However a few airports are enrolled in a partnership allowing them to hire private screeners who work under Federal supervision. “Federal Response to Sept. 11 in Retrospect,” CQ Weekly,September 11, 2006, 2382. 40. “Federal Response,”2382. 41. David Peterman, Bart Elias, John Frittelli, “Transportation Security: Issues for the 110th Con- gress,”RL33512 (Washington, D.C.: Congressional Research Service, March 26, 2007), 12. 42. Peterman et al.,, “Transportation Security,”11–15. 43. GAO, “Significant Management Challenges May Adversely Affect Implementation of the TSA’s Secure Flight Program,”GAO-06-374T, February 9, 2007. 44. Peterman et al., “Transportation Security,”6. 45. U.S. Senate Committee on Appropriations, Press Release: “Senate Appropriations Homeland Security Subcommittee Clears Fiscal 2008 Funding Legislation,”June 13, 2007, 4. http://www.washing- tonbudgetreport.com/Senate_Homeland_Sub.pdf. 46. Peterman et al., “Transportation Security,”6. 47. See GAO, “Federal Efforts to Secure U.S.-Bound Air Cargo Are in the Early Stages and Could Be Strengthened,”GAO-07-660 (Washington, D.C.: Government Accountability Office, April 2007). 48. U.S. Senate Committee on Appropriations, Press Release: “Senate Appropriations Homeland Security Subcommittee Clears Fiscal 2008 Funding Legislation,”June 13, 2007, 4. 49. The 9/11 Commission Report, 387. 50. GAO, “Homeland Security: Management Challenges,”7. 51. Ruth Wasem,“U.S. Immigration Policy on Permanent Admissions,”RL32235 (Washington, D.C.: Congressional Research Service, May 11, 2007), 16. 52. Ruth Ellen Wasem,“Toward More Effective Immigration Policies: Selected Organizational Issues,” RL33319 (Washington, D.C.: Congressional Research Service, RL33319), 2–9. 53. P.L. 107-296. 03_2part.qxp 11/20/07 10:24 AM Page 158

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54. In adjudicating citizenship applications, USCIS adjudicators must determine whether applicants have continuously resided in the United States for a specified period of time, have good moral charac- ter, have the ability to read, write, speak, and understand English, and have passed an exam on U.S. gov- ernment and history. Wasem,“Toward More Effective Immigration Policies,”14. 55. USCIS adjudicators determine eligibility for immigration of immediate relatives of U.S. citizens, spouses and children of legal permanent residents, employees that U.S. businesses have demonstrated they need, and other foreign nationals meeting certain criteria. Wasem,“Toward More Effective Immi- gration Policies,”14. 56. The projected growth is based on President Bush’s request. See GAO, “Border Patrol: Costs and Challenges Related to Training New Agents,”GAO-07-997T (Washington, D.C.: Government Account- ability Office, June 19, 2007), highlights. 57. The number of agents has grown from about 8,000 in 2002 to more than 11,000. Source: Speech by President George W. Bush to the Associated Builders and Contractors, June 14, 2007, http://www.whitehouse.gov/news/releases/2007/06/20070614-1.html. 58. Alison Siskin, “Immigration Enforcement Within the United States,”RL33351 (Washington, D.C.: Congressional Research Service, April 6, 2006), 7. 59. It is unlawful for an employer to knowingly hire, recruit for a fee, or continue to employ an ille- gal alien. See Andora Bruno, “Unauthorized Employment in the U.S.: Issues and Options,” RL 33973 (Washington, D.C.: Congressional Research Service, April 20, 2007). 60. United States Visitor and Immigrant Status Indicator Technology Program. See Lisa Seghetti and Stephen Vina, “U.S. Visitor and Immigrant Status Indicator Technology Program,” RL32234 (Wash- ington, D.C.: Congressional Research Service, January 26, 2006). 61. The National Protection and Programs Directorate has an FY 2007 budget of nearly a billion dollars and, in addition to US-VISIT, also funds programs for infrastructure protection, cybersecurity, emergency preparedness communications, and communications interoperability (enabling police, fire and other first responders to communicate with each in coordinating emergency response. 62. Wall Street Journal editorial, May 21, 2006, quoting Reagan: His Life in Letters, http://www.opin- ionjournal.com/editorial/feature.html?id=110008406. 63. Janice Cheryl Beaver, “U.S. International Borders: Brief Facts,”RS21729 (Washington, D.C.: Con- gressional Research Service, February 1, 2007), 2. 64. For more background on the San Diego fence, see Blas Nunez-Neto and Michael Garcia, “Bor- der Security: The San Diego Fence,”RS22026 (Washington, D.C.: Congressional Research Service, May 23, 2007). 65. The San Diego fence was authorized by the Illegal Immigration Reform and Immigrant Respon- sibility Act (IIRIRA), P.L.104-208. The REAL ID Act of 2005 (P.L.109-13), provided authority to waive environmental regulations to expedite completion of the San Diego fence. See Michael Garcia and Mar- garet Lee, “Immigration: Analysis of the Major Provisions of the REAL ID Act,”RL32754 (Washington, D.C.: Congressional Research Service, May 25, 2005). 66. P.L. 109-367. 67. Blas Nunez-Neto and Michael John Garcia, “Border Security: Barriers along the U.S. Interna- tional Border,”RL33659 (Washington, D.C.: Congressional Research Service, June 5, 2007), 24. 68. Nunez-Neto and Garcia, “Border Security: Barriers along the U.S. International Border,”18–19. According to the CRS report, “The exact appropriation for border fencing in FY2007 is not discernible. In FY2007, the appropriations committee created a new Border Security Fencing, Infrastructure, and Technology (BSFIT) account within the CBP appropriation and allocated $1.2 billion (see H.Rept. 109- 699). Combined with the $300 million already appropriated in the emergency supplemental, the over- all BSFIT appropriation for FY2007 was $1.5 billion. This account funds the construction of fencing, other infrastructure such as roads and vehicle barriers, and border technologies such as cameras and sensors. The appropriators did not offer guidance on how this funding was to be allocated between these different purposes, and CBP has not responded to several requests concerning how much fund- ing was allocated to fencing in FY2007 from the BSFIT account. 69. Spencer Hsu, “DHS Plan for ‘Virtual’ Border Fence Still Has Gaps,” Washington Post, December 5, 2006, A27. 03_2part.qxp 11/20/07 10:24 AM Page 159

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70. Richard Stana and Randolph Hite, GAO, Testimony before the House Appropriations Subcom- mittee on Homeland Security, February 27, 2007, GAO-07-504T, 1. 71. Nunez-Neto and Garcia,“Border Security: Barriers along the U.S. International Border,”26–27, 35. 72. Paul Cullinan, Statement before the Senate Budget Committee, 8. 73. http://www.newsregister.com/photos/upload/20050428154454_medium.jpg 74. Ruth Ellen Wasem,“Immigration Reform: Brief Synthesis of Issue,”RS22574 (Washington, D.C.: Congressional Research Service, May 10, 2007), 1. 75. Wasem,“Immigration Reform,” 1. Source for the 12 million estimate: Interview of Senator Ted Kennedy (D-MA), This Week with George Stepanopoulos, ABC News, June 24, 2007. For more informa- tion on nonimmigrant overstays, see Ruth Wasem,“Nonimmigrant Overstays: Brief Synthesis of the Issue,”RS22446 (Washington, D.C.: Congressional Research Service, May 22, 2006). 76. Congressional Budget Office, “Immigration Policy in the United States” (Washington, D.C.: Author, February 2006), vii. 77. Congressional Budget Office, “Immigration Policy,”vii. 78. This is a “flexible cap”—that is, unused slots from one year may carry forward to the next year. 79. However, there are exceptions for family-sponsored and employment-based immigrants. Ruth Wasem,“U.S. Immigration Policy on Permanent Admissions,” RL32235 (Washington, D.C.: Congres- sional Research Service, May 11, 2007), 5. 80. Ruth Wasem, Congressional Research Service, Hearing before the Judiciary Subcommittee on Immigration, Citizenship, Refugees, Border Security and International Law, House of Representatives, June 6, 2007, 5. 81. March 2007 Annual Flow Report, (Washington, D.C.: Department of Homeland Security, Office of Immigration Statistics), table 2; http://www.dhs.gov/xlibrary/assets/statistics/publications/IS- 4496_LPRFlowReport_04vaccessible.pdf. 82. March 2007 Annual Flow Report, table 3. 83. Estimates of unauthorized resident alien population vary from 400,000 to 500,000 to 700,000. See Jeffrey Passel, “Unauthorized Migrants: Numbers and Characteristics” (Washington, D.C.: Pew His- panic Center, June 14, 2005), 5, http://pewhispanic.org/files/reports/46.pdf; Allison Siskin, “Immigra- tion Enforcement within the United States,” RL33351 (Washington, D.C.: Congressional Research Service, April 6, 2006), 1; Andorra Bruno, “Immigration: Policy Considerations Related to Guest Worker Programs,”RL32044 (Washington, D.C.: Congressional Research Service, May 10, 2007), 6-7. 84. Ruth Wasem,“Unauthorized Aliens Residing in the U.S.: Estimates since 1986,”RL33874 (Wash- ington, D.C.: Congressional Research Service, February 28, 2007), 5. 85. CIA website accessed July 9, 2007: https://www.cia.gov/library/publications/the-world-fact- book/geos/mx.html#Econ. 86. Erica Dahl-Bredine, “U.S. helped create migrant flow,” National Catholic Reporter, September 22, 2006, NCRonline.org; See also Colleen W. Cook, “Mexico-U.S. Relations: Issues for the 110th Con- gress, RL32724 (Washington, D.C.: Congressional Research Service, May 30, 2007); Sandra Polaski, “Mexican Employment, Productivity and Income, A Decade after NAFTA, February 25, 2004; Jeff Fugate, “A Recipe for Success,” Yale Economic Review, Spring 2005, http://www.yaleeconomicreview .com/issues/spring2005/nafta.php. 87. Under current law, there are a number of categories of visas for temporary workers: H-1B visas for professional specialty workers, H-2A visas for agricultural visas, and H-2B visas for nonagricultural workers. Wasem,“Immigration Reform,”3–5. See also Bruno, “Guest Worker Programs.” 88. Jeffrey Passel, “Size and Characteristics of the Unauthorized Migrant Population in the U.S.” (Washington, D.C.: Pew Hispanic Center, March 7, 2006). 89. For a review of this issue, see Andorra Bruno, “Immigration: Policy Considerations Related to Guest Worker Programs,”RL32044 (Washington, D.C.: Congressional Research Service, May 10, 2007). 90. P.L. 99-603, signed November 6, 1986. 91. Bruno, “Guest Worker Programs,”38. 92. Ruth Wasem,“Noncitizen Eligibility for Federal Public Assistance: Policy Overview and Trends,” RL33809 (Washington, D.C.: Congressional Research Service, January 19, 2007), 18-21; National Immi- gration Law Center, Guide to Immigrant Eligibility for Federal Programs, revised March 2005 (accessed 03_2part.qxp 11/20/07 10:24 AM Page 160

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June 29, 2007, at http://www.nilc.org/pubs/guideupdates/tbl1_ovrvw_fed_pgms_032505.pdf). See also, Committee on Ways & Means, U.S. House of Representatives, 2004 Green Book (Washington, D.C.: Committee Print 108-6, 108th Congress, 2d Session), appendix J: “Welfare Benefits for Noncitizens”: http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=108_green_book&docid=f:wm006_25.pdf. 93. National Center for Children in Poverty, Columbia University 94. Andorra Bruno, “Unauthorized Employment in the United States: Issues and Options,”RL33973 (Washington, D.C.: Congressional Research Service, April 20, 2007), summary. 95. Alison Siskin, “Immigration Enforcement within the United States,” RL33351 (Washington, D.C.: Congressional Research Service, April 6, 2006), summary page. 96. GAO, “Prospect for US-VISIT Biometric Exit Capability Remain Unclear,” GAO-07-1044T (Washington, D.C.: Author, June 28, 2007), highlights. 97. GAO, “Border Security: Investigators Transported Radioactive Sources Across Our Nation’s Bor- ders at Two Locations,”GAO-06-939T (Washington, D.C.: Author, July 5, 2006). 98. GAO, “Immigration Benefits: Several Factors Impede Timeliness of Application Processing,” GAO-01-488 (Washington, D.C.: Author, May 2001). 99. GAO, “Immigration benefits: Improvements Needed to Address Backlogs and Ensure Quality of Adjudications,”GAO-06-02 (Washington, D.C.: Author, November 2005), highlights. 100. Chad Haddal, “U.S. Citizenship and Immigration Services’ Immigration Fees and Adjudication Costs: The FY 2008 Adjustments and Historical Context,”RL34040 (Washington, D.C.: Congressional Research Service, June 12, 2007). See also “The Endless Wait: Will Resources Match the Resolve to Reduce the Immigration Case Backlog?” (Washington, D.C.: The American Immigration Law Founda- tion, July 2004), www.ailf.org/ipc/endlesswaitprint.asp; USCIS, Backlog Elimination Plan, http://149.101.23.2/graphics/aboutus/repsstudies/backlog.htm. 101. The source for some of the following is LaVonne Mangan, “Immigration Statistics on the Web,” RS22423 (Washington, D.C.: Congressional Research Service, April 19, 2006). 102. Blas Nunez-Neto, “Border Security: Key Agencies and Their Missions,”RS21899 (Washington, D.C.: Congressional Research Service, April 19, 2007), 5. 103. Testimony before the House Coast Guard and Maritime Transportation Subcommittee, March 1, 2006. 104. United States Coast Guard, “U.S. Coast Guard: America’s Maritime Guardian,” U.S.C.G Publi- cation 1, http://www.uscg.mil/overview/Pub%201/contents.html. 105. U.S. Coast Guard: A Historical Overview, 1–2, www.uscg.mil/history/h_USCGhistory.html. 106. U.S. Government Manual (Washington, D.C.: Government Printing Office, 2005–2006); “U.S. Coast Guard – A Historical Overview,”www.uscg.mil/history/h_USCGhistory.html. 107. See Coast Guard 101 Executive PPT Brief at www.uscg.mil/overview/index.shtm. 108. Katrina statistics derived from testimony before the House Coast Guard and Maritime Trans- portation Subcommittee, March 1, 2006. Note also that Coast Guard expenditures related to oil spills are covered by the Oil Spill Liability Trust Fund. 109. Eric Lipton, “Failure to Navigate: Billions Later, Plan to Remake the Coast Guard Fleet Stum- bles,” New York Times, December 9, 2006. 110. CRS, “Coast Guard Deepwater Program: Background and Issues for Congress,” July 22, 2005. 111. Statement of Richard Skinner before the Senate Commerce Subcommittee on Oceans, Atmos- phere, Fisheries and Coast Guard, February 14, 2007, 3. 112. GAO, “Coast Guard: Challenges Affecting Deepwater Asset Deployment and Management and Efforts to Address Them,”GAO-07-874 (Washington, D.C.: Author, June 2007), highlights. 113. The Deepwater reform bill is HR 2722. Kathleen Hunter, “Two Coast Guard Bills Advance; Panel Seeks Deepwater Overhaul,” CQ Weekly, July 9, 2007, 2047. 114. GAO, Letter to the Homeland Security Appropriations Subcommittees on “Combating Nuclear Smuggling,”GAO-07-133R, October 17, 2006, 2–4, 9. 115. OMB, FY 2008 Budget of the United States, Analytical Perspectives, table 28-1, 34, http://www .whitehouse.gov/omb/budget/fy2008/pdf/ap_cd_rom/28_1.pdf. For background on the CTR program, see Isabelle Williams, “Analysis of the U.S. Department of Defense’s Fiscal Year 2008 Cooperative Threat 03_2part.qxp 11/20/07 10:24 AM Page 161

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Reduction Budget Request (Washington, D.C.: Partnership for Global Security, March 19, 2007), 7, http://www.partnershipforglobalsecurity.org/. See also www.NTI.org. 116. OMB, FY 2008 Budget of the United States, appendix, 354. See also Isabelle Williams and Ken- neth Luongo, “Analysis of the U.S. Department of Energy’s Fiscal Year 2008 International Nonprolifer- ation Budget Request” (Washington, D.C.: Partnership for Global Security, February 26, 2007), 6, http://www.partnershipforglobalsecurity.org/. See also www.NTI.org. 117. Includes the following DHS programs: Science & Technology, Domestic Nuclear Detection Office, and Port Security. OMB, FY 2008 Budget of the United States, appendix. 118. Isabelle Williams, “Preliminary Analysis of the U.S. State Department’s Fiscal Year 2008 Budget Request for Global WMD Threat Reduction Programs” (Washington, D.C.: Partnership for Global Secu- rity, April 2007), 5, http://www.partnershipforglobalsecurity.org/. 119. OMB, FY 2008 Budget of the United States, Analytical Perspectives, Table 3-7. 120. The 9/11 Commission Report, 397. 121. Located in the Office for Interoperability and Compatibility. 122. http://www.safecomprogram.gov/SAFECOM/about/faq. 123. When FEMA was first absorbed into DHS, it was stripped of responsibilities for emergency communications. 124. National Telecommunications and Information Administration (NTIA). See chapter 3-19. 125. Linda Moore, “Public Safety Communications Policy,” RL32594 (Washington, D.C.: Congres- sional Research Service, January 31, 2007), 5–6. 126. Genevieve Knezo, “Homeland Security Research and Development Funding, Organization, and Oversight,”RS21270 (Washington, D.C.: Congressional Research Service, December 29, 2006), 2. 127. GAO, “First Responders: Much Work Remains to Improve Communications Interoperability,” GAO-07-301 (Washington, D.C.: Author, April 2007), highlights. 128. OMB, FY 2008 Budget of the United States, appendix, 479. 129. Moore, “Public Safety Communications Policy,”30–31. 130. Stefan Lovgren, “U.S. Secret Service’s Other Job: Fighting Fake Money,” National Geographic News, October 22, 2004. 131. In 1998, President Clinton issued Presidential Decision Directive 62, which first identifies events of national interest, known as National Special Security Events, and then organizes federal antiterrorism and counterterrorism assets. The Secret Service is the lead agency for the design and implementation of security operations. 132. Stephanie Smith, “Former Presidents: Federal Pension and Retirement Benefits,”98-249 (Wash- ington, D.C.: Congressional Research Service, February 26, 2007). 133. Public Law 107-296. 134. Pursuant to Public Law 109-177, section 607, the United States Secret Service shall be main- tained as a distinct entity within the Department of Homeland Security. The Director of the United States Secret Service shall report directly to the Secretary of Homeland Security. 135. CRS, “Terrorist Financing: U.S. Agency Efforts and Inter-Agency Coordination,”August 3, 2005. 136. The 9/11 Commission, “Executive Summary: Final Report of the National Commission on Ter- rorist Attacks upon the United States,”13, http://www.9-11commission.gov/report/911Report_Exec.pdf. 137. Senate Committee on Appropriations, Press Release, “Senate Appropriations Homeland Secu- rity Subcommittee Clears Fiscal 2008 Funding Legislation,”7, http://www.washingtonbudgetreport.com/ Senate_Homeland_Sub.pdf. 138. Council on Foreign Relations, “America Still Unprepared, Still in Danger,”Press Release on Hart- Rudman Report, October 24, 2002. 139. Joint Explanatory Statement of the Committee of Conference, H.R. 2360, H.Rpt. 109-241, 34. 140. Dan Eggen, “U.S. is Given Failing Grades by 9/11 Panel,” Washington Post, December 6, 2005, A01. 141. Shane Harris and Greta Wodele, “Cover Story: Miles to Go,” National Journal, January 14, 2006. 142. Council on Foreign Relations, “News Release: U.S. Government Failing to Mobilize Private Sec- tor in Homeland Security Efforts, Warns Council Special Report,”May 3, 2006. 03_2part.qxp 11/20/07 10:24 AM Page 162

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143. “Homeland Security and the Private Sector” (Washington, D.C.: Congressional Budget Office, December 2004), ix and interview with senior congressional staff member on May 16, 2006. 144. Background interview with senior congressional staff member, May 15, 2006. 145. U.S. Senate Committee on Homeland Security and Governmental Affairs, “Hurricane Katrina: A Nation Still Unprepared,” May 2006, introductory “Note to Readers” from Senators Collins and Lieberman. 146. Ira Helfand, “The U.S. and Nuclear Terrorism: Still Dangerously Unprepared,”press conference, Physicians for Social Responsibility, August 31, 2006, Washington, D.C., http://www.psr.org/site/Doc- Server/Good_PSR_Nuclear_Terrorism_News_Release_Printing.doc?docID=801. 147. See earlier section on U.S.-VISIT. 148. “Cover-Story: Federal Response to Sept. 11 in Retrospect,” CQ Weekly, September 11, 2006. 149 Renae Merle and Spencer Hsu, “Costly Fleet Update Falters,” Washington Post, December 8, 2006, A01. 150. GAO, “Management Actions Are Needed to Close the Gap between Army Chemical Unit Pre- paredness and Stated National Priorities,”GAO-07-143 (Washington, D.C.: Author, January 2007), high- lights. 151. Greg Gordon, “U.S. Unprepared for Nuclear Terror Attack, Experts Say,” McClatchy Newspa- pers,[[NOT AN ACTUAL PAPER NAME, but a company name (like Reuters or AP), correct? Thus no italics.]] March 1, 2007. 152. GAO, “First Responders: Much Work Remains to Improve Communications Interoperability,” 41. 153. GAO, “Aviation Security—Federal Efforts to Secure U.S.-Bound Air Cargo Are in the Early Stages and Could Be Strengthened,”GAO-07-660 (Washington, D.C.: Author, April 2007), highlights. 154. David M. Walker, Comptroller General of the United States, “Management and Programmatic Challenges Facing the Department of Homeland Security,” GAO-07-833T, Testimony before the Sub- committee on Oversight of Government Management, Senate Committee on Homeland Security and Governmental Affairs, May 10, 2007. 155. Senate Committee on Appropriations, Press Release, “Senate Appropriations Homeland Secu- rity Subcommittee Clears Fiscal 2008 Funding Legislation,”7, http://www.washingtonbudgetreport.com/ Senate_Homeland_Sub.pdf. 156. Spencer S. Hsu, “Job Vacancies at DHS Said to Hurt U.S. Preparedness,” WashingtonPost.com, July 9, 2007, A01. See also Robert O’Harrow Jr., “Costs Skyrocket as DHS Runs up No-Bid Contracts,” WashingtonPost.com, June 28, 2007, A01, reporting on the use of costly no-bid contracts to compensate for the unfilled positions at DHS. 157. Includes FY 2007 budget authority for Research, Development, Testing and Evaluation; Pro- curement; and the Reliable Replacement Warhead program. 158. Amy Belasco, “The Cost of Iraq, Afghanistan, and Other Global War on Terror Operations since 9/11,”RL33110 (Washington, D.C.: Congressional Research Service, June 28, 2007), 3. 159. See the earlier text box, “FY 2007 Resources Invested in Protecting the Homeland from Terror- ists Acquiring and Using Nuclear and Other Weapons of Mass Destruction.” 160. Graham Allison, Nuclear Terrorism (London: Constable & Robinson, 2006), 223. 161. The 9/11 Commission Report, 380. 162. Quoted in Allison, Nuclear Terrorism,1. 03_3part.qxp 11/19/07 7:29 PM Page 163

CHAPTER 3-3

Veterans Benefits

FY 2007 Veterans Spending: $79 billion

See www.GovBudget.com for updated numbers

With malice toward none, with charity for all, with firmness in the right as God gives us to see the right, let us strive on to finish the work we are in, to bind up the nation’s wounds, to care for him who shall have borne the battle and for his widow and his orphan, to do all which may achieve and cherish a just and lasting peace among ourselves and with all nations.1 —President Abraham Lincoln

In a Nutshell Veterans, and in some cases their spouses, dependents, and survivors, may be eligible for a broad range of benefits including health care services, compensation for service-connected injuries or disabilities, disability pensions for low-income veterans, educational (Montgomery GI Bill) assistance, vocational training, career assistance, low-interest housing loans, life insur- ance, and burial benefits. At the end of FY 2006, there were an estimated 24 million veterans, with 5 million receiving health care services, 3 million veterans (and survivors/dependents) receiving disability compensation, and a half million low-income veterans (and survivors) receiving pension benefits (see figure 3-3.1).

Background The Department of Veterans Affairs (VA) traces its origins to 1789 when the first U.S. Con- gress appropriated funds to pay benefits to veterans of the Revolutionary War. The broader mission of the VA was eloquently defined by President Lincoln who, in his second inaugural address, called on the Nation to “care for him who shall have borne the battle and for his

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widow and his orphan.”2 (The Civil War is not as distant as it may seem. As of May 2006, the VA reported that “five children of Civil War veterans still draw VA benefits.”3) It is important to understand the distinction between military retirees and veterans. Mil- itary retirees are people who have completed a full active duty military career, usually at least 20 years of service. A veteran is any person who has served in the armed forces.

Veterans’ Health Care VA health care appropriations in FY 2007 were more than $34 billion. The VA provides a full range of medical services to veterans including outpatient, in-patient, nursing home, psychi- atric, rehabilitative, and home health. Because there is an enormous demand for VA health care, services are provided on a pri- ority basis. There are eight priority levels or “groups.”Assignment to a particular priority group depends on whether a veteran has a service-connected injury or disability, the veteran’s disability rating, and income level. The highest priority (group 1) is reserved for veterans with service-connected disabilities rated at 50% or higher. The lowest priority (group 8) is for veterans without service-connected disabilities and income that exceeds the low-income threshold. The VA delivers health care through the Veterans Health Administration (VHA), the nation’s largest health care system, with over 200,000 employees at 154 hospitals, 135 nursing homes, 850 outpatient clinics, and 200 readjustment counseling centers. In 2005, about 5 mil- lion veterans received health care in VA facilities across the nation—a 20% increase since 2001.4

A service-connected injury or disability is one that was incurred or aggravated during military service. Veterans’ disability ratings range from zero to 100% (the most severe) and are designed to reflect the veteran’s reduction in earnings capacity. A 100% rating therefore indicates a severe disability resulting in no earnings capacity.

Myth: Veterans health care is an entitlement program. Fact: Veterans health care is not an entitlement; it is a discretionary program. Each year Congress determines how much to appropriate to the program and the VA allocates available resources based on its priority system, giving priority to service-connected conditions and low-income veterans.

Veterans’ Disability Programs: Compensation and Pensions Unlike VA Health Care, which is a discretionary program, the VA’s two disability programs are entitlements. The Veterans Disability Compensation program, costing $35 billion in FY 03_3part.qxp 11/19/07 7:29 PM Page 165

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2007, entitles veterans to compensation for a 2007 VA Disability Compensation Rates loss of earning capacity as a result of disabili- Disability Monthly Disability ties sustained or worsened during military ser- Rating6 Compensation vice.5 The amount of compensation is tied to the veteran’s “disability rating” as reflected 10% $ 115 in the chart. 20% $ 225 The Veterans Disability Pensions pro- 30% $ 348 gram, costing approximately $3 billion in FY 40% $ 501 2007, is aimed at assisting low-income veter- 50% $ 712 ans who served during wartime and are per- 60% $ 901 manently disabled, or age 65 or older.7 70% $ 1,135 80% $ 1,319 Other VA Benefits 90% $ 1,438 100% $ 2,471 Additional VA benefits include:

• The Montgomery GI Bill, which assists vets in paying costs for higher education and var- ious types of training.; • Vocational rehabilitation and employment programs aimed at helping disabled vets obtain employment and live as independently as possible; • “Vet Centers” across the country that provide trauma, substance abuse, readjustment, and bereavement counseling for veterans and their families; • Home loan guarantees that enable vets to buy a home without a down payment; • Grants for specially adapted housing and automobiles for disabled vets; • Life insurance including automatic $400,000 coverage of all active duty personnel, as well as optional low-cost term life insurance and coverage for traumatic injuries; and • Burial benefits.

Reservists and National Guard Reservists called to active duty may, depending on the length of active duty service, qualify for the full range of VA benefits. Reservists not called to active duty qualify for more limited benefits. National Guard members may establish eligibility by being called to Federal service.8

Issues • Increasing demands on the veterans health care system. An issue of continuing concern is the rapidly escalating costs of the veterans health care system. The Congress appropri- ated $31.2 billion for VA health care in FY 2006; $34.2 billion in FY 2007; and pending appropriations for FY 2008 would provide more than $37 billion.14 The rapid growth is a consequence of three factors: (1) the easing of eligibility rules in the mid-1990s; (2) gen- eral health care inflation impacting all U.S. health care providers; and (3) the growing number of Iraq and Afghanistan veterans in need of extensive and continuing medical care upon their return to the U.S. According to the House Appropriations Committee, the Veterans Health Administration is anticipating treating “more than 5.8 million 03_3part.qxp 11/19/07 7:29 PM Page 166

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WHATEVER HAPPENED TO THE GI BILL? After World War II, the famous “GI Bill”9 sent nearly 8 million veterans to college, covering their tuition and fees, and providing a monthly allowance for living expenses. In addition to the higher education boom, the GI Bill’s low-interest LOW RES home mortgages to 11 million families spurred an enormous housing boom, and the GI Bill’s low-interest business loans assisted thousands of small businesses in getting off the ground.10 This generous entitlement not only reflected the thanks of a grateful nation; it also built up the middle class, literally transforming Amer- ica; the GI bill was dubbed the “Magic Carpet to the Middle Class.”11 However, current veterans’ education benefits (under the Montgomery GI bill12) are somewhat limited by comparison. Returning vets from Iraq and Afghanistan receive a maximum of $1,075 per month for 36 months, which the recipients may use to cover tuition, fees, and living expenses. The College Board estimates that the current undergraduate budget for a pub- lic university is over $16,000 per year for residents and $26,000 out of State, and $33,000 per year for a private university.13 Today’s lawmakers might want to take a page out of history and reinvigorate one of the most successful government programs. Iraq and Afghanistan vets deserve it, recruitment would improve (at a time when the armed forces are stretched thin), cash-strapped universities and the ailing housing market would ben- efit from the infusion of resources, thousands of new businesses would open up, and the American middle class would be strengthened. The original GI Bill made “the American dream” of equal opportunity a tangible reality for millions.

patients in 2008 including more than (263,000) veterans of Iraq and Afghanistan, 54,000 more than fiscal 2007” (emphasis added).15 • When is a medical condition service connected? A key issue with regard to qualifying for veterans’ compensation is establishing the “service connection.”After considerable debate, certain disabilities are now presumed to have a service connection—for example, where the veteran was exposed to Agent Orange in Vietnam, exposed to radiation dur- ing nuclear weapons tests, or served in the Gulf War and suffers from Gulf War Syndrome. • The growing backlog of benefits claims. In a recent report, GAO reported to Congress that the “VA continues to face challenges in improving service delivery to veterans, specif- ically speeding up the process of adjudication and appeal, and reducing the existing back- log of claims.”Total pending disability claims, as well as claims pending for more than 6 months, have increased in each year since 2003.16 • Homeless veterans. The VA estimates that 196,000 veterans are homeless on any given night, comprising one-fifth to one-quarter of the U.S. homeless population. Suggested causes are post-traumatic stress disorder (PTSD) and drug or alcohol addictions. In FY 2006, $238 mil- lion was appropriated to a variety of programs designed to assist homeless veterans. 03_3part.qxp 11/19/07 7:29 PM Page 167

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• Concurrent receipt. An issue that has received much attention in recent years is whether military retirees should be allowed to receive both military retired pay and VA disability compensation to which they would otherwise be entitled. Until 2004, military retired pay had to be reduced by the amount of VA disability compensation received by the retiree. However, beginning in 2004, military retirees began receiving “Combat Related Special Compensation” as a substitute for the VA disability compensation they were losing, and the concurrent receipt offset began phasing out for all veterans with a disability rating of 50% or more. As of 2005, the concurrent receipt offset was completely eliminated for vet- erans with a 100% service-connected disability. There still remain some limited categories of military retirees subject to the concurrent receipt offset.17

Notes

1. The bolded words from Lincoln’s second inaugural address became the VA’s motto in 1959, adorning the main entrance to VA headquarters in Washington, D.C. 2. This became the official motto of the VA in May 1959. This phrase is excerpted from President Lincoln’s second inaugural address, when he uttered one of the most eloquent statements of any leader in human history: “With malice toward none, with charity for all, with firmness in the right as God gives us to see the right, let us strive on to finish the work we are in, to bind up the nation’s wounds, to care for him who shall have borne the battle and for his widow and his orphan, to do all which may achieve and cherish a just and lasting peace among ourselves and with all nations.” See http://www .75anniversary.va.gov/history/lincoln_motto.htm. 3. Department of Veterans Affairs Fact Sheet, May 2006, http://www1.va.gov/opa/fact/docs/ vafacts.pdf. 4. “Facts about the Department of Veterans Affairs,” May 2006, 3, http://www1.va.gov/opa/fact/ docs/vafacts.pdf. 5. The amount of disability compensation ranges from $112 to $2,393 per month, depending on the extent of disability. The extent of disability is set in percentages of impairment, from 0% to 100%. Additional amounts may be paid in cases of: severe disabilities; loss of limb(s); have a spouse, child(ren), or dependent parent(s); or have a seriously disabled spouse. 6. Veterans with at least a 30% disability rating are eligible for additional payments for spouse and dependents. “Federal Benefits for Veterans and Dependents” (Washington, D.C.: Department of Veter- ans Affairs, 2007), 16. 7. The VA pension program pays the difference between countable family income and the yearly income limit which ranges from $10,579 for veterans without dependents to $20,924 for a veteran who needs aid and attendance and has one dependent. 8. Carol Davis, “Veterans’ Benefits: Issues in the 110th Congress,”RL33985 (Washington, D.C.: Con- gressional Research Service, April 26, 2007), 5. 9. The official name of the bill was “The Servicemen’s Readjustment Act of 1944.” 10. Stephen Ambrose, historian, interviewed on PBS’s NewsHour, July 4, 200, www.pbs.org/newshour/ bb/military/july-dec00/gibill_7-4.html. 11. See Christine Davenport, “The Middle Class Rose, as Did Expectations,” Washington Post,May 27, 2004, B01. 12. Established in 1985, http://www1.va.gov/opa/fact/docs/vafacts.pdf. 13. Trends in College Pricing 2006 (New York: College Board, 2006), table 2, http://www.collegeboard .com/prod_downloads/press/cost06/trends_college_pricing_06.pdf. 03_3part.qxp 11/19/07 7:29 PM Page 168

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14. Press Release, Senate Committee on Appropriations, “Senate Military Construction and Veter- ans Affairs Appropriations Subcommittee Clears Fiscal 2008 Funding Legislation,”June 13, 2007; Press Release, House Committee on Appropriations, “Summary: 2008 Military Construction and Veterans Affairs Appropriations,”June 6, 2007. 15. Press Release, House Committee on Appropriations, “Summary: 2008 Military Construction and Veterans Affairs Appropriations,”June 6, 2007, 1. 16. GAO, “Veterans’ Disability Benefits: Processing of Claims Continues to Present Challenges,”GAO- 07-562T (Washington, D.C.: Government Accountability Office, March 13, 2007). 17. Charles Henning, “Military Retirement, Concurrent Receipt, and Related Major Legislative Issues,”RL33449 (Washington, D.C.: Congressional Research Service, January 24, 2007). 03_4part.qxp 11/19/07 7:33 PM Page 169

CHAPTER 3-4

Social Security: Is It Stable or Facing Collapse?

Projected FY 2008 Social Security Spending: $612 billion 20% of Federal Spending

See www.GovBudget.com for updated numbers

[I]t took a depression to dramatize for us the appalling insecurity of the great mass of the population, and to stimulate interest in social insurance in the United States. We have come to learn that the large majority of our citizens must have protection against the loss of income due to ...old age,death of the breadwinners and disabling accident and illness, not only on humanitarian grounds, but in the interest of our National welfare. If we are to maintain a healthy economy and thriving production, we need to maintain the standard of living of the lower income groups in our population who constitute 90 per cent of our purchasing power.— National Radio Address by Frances Perkins, President Roosevelt’s Secretary of Labor, Febru- ary 25, 1935

In a Nutshell Social Security consists of two separate parts: Old Age and Survivors Insurance (OASI) and Disability Insurance (DI). Under OASI, monthly benefits are paid to retired workers, their spouses and dependent children, and survivors of deceased workers (spouses, dependent children and dependent parents). Under DI, monthly benefits are paid to disabled workers

Author’s note: This chapter is dedicated to the late Senator Daniel Patrick Moynihan, who I had the privilege to work for as General Counsel at the Senate Finance Committee. Senator Moynihan was well known for his eloquent leadership on all matters relating to Social Security and his deep understanding of the foundational principles on which this monumental program was built.

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(who have not yet reached retirement age) and their fam- ilies. The Social Security system is sustained by payroll taxes of 12.4%—half paid by employers and half by employees (with self-employed individuals paying roughly the full amount). Social Security payroll taxes are assessed on income up to a maximum amount ($97,500 for 2007).1 At the beginning of FY 2007, more than 150 mil- lion workers were paying Social Security taxes to fund current benefits for nearly 50 million beneficiaries.2

Background Social Security is the nation’s largest Federal program with an FY 2008 budget of $612 billion, amounting to one-fifth of the Federal Budget. (Total defense spending for FY 2008 LOW RES is higher than Social Security, but the “base” defense bud- get—excluding Iraq war spending—is less than Social Security.) Looking at objective measures of poverty, Social Secu- rity has been the most effective antipoverty program in U.S. history. One recent study estimated that without President Roosevelt signs the landmark Social Security, nearly half of elderly Americans would Social Security Act of 1935. Standing have incomes below the poverty line; but taking Social behind the President is Secretary of Security benefits into account, the percentage living in Labor Frances Perkins, architect of the poverty is under 10%.3 As a “social insurance” program, plan and the first woman cabinet mem- Social Security spreads the cost of providing basic retire- ber in U.S. history. ment and disability guarantees among all working Amer- icans, as well as providing greater stability to the economy by insulating beneficiaries from economic downturns, which would otherwise depress consumer spending. Social Security is actually two distinct programs: the Old Age and Survivors Insurance Program and the Disability Insurance Program.

Old Age and Survivors Insurance program (OASI) OASI provides monthly cash benefits to retired workers, their spouses4 and dependent chil- dren, and survivors of deceased workers (spouses, dependent children, and dependent par- ents). Average monthly benefits for the more than 31 million retired workers is $1,050 per month. Generally, a worker must have 10 years (40 quarters) of covered employment to be eligible for retirement benefits.5 Initial benefits are based on a worker’s past average monthly earnings, indexed to reflect changes in national wage levels (and adjusted upward for low earners). Each subsequent year, benefits are adjusted upward to compensate for consumer price inflation. These annual adjustments are called “cost of living adjustments,” or COLAs. The COLA for 2007 was 3.3%.6 03_4part.qxp 11/19/07 7:33 PM Page 171

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The Survivors Insurance component of Social Security is similar to life insurance. When a worker dies, his or her spouse, dependent children, disabled children over 16, dependent par- ents, and former spouse caring for children may qualify for Social Security survivors benefits.7 The Social Security amendments of 1983 established a gradual schedule for increasing the full retirement eligibility age from 65 to 67. Workers born before 1938 were eligible to retire at age 65, and workers born 1960 or later will be eligible for full retirement at age 67. Between those two groups, the retirement eligibility age slowly increases from 65 to 67. For example, for workers born in 1948, the full retirement age is 66, and for people born in 1958 the full retirement age is 66 and 8 months.8 The Social Security benefit formula is progressive, returning a higher percentage of a lower-wage worker’s average monthly earnings. For example, in 2007, the benefit formula for most workers returns 90% of a worker’s first $680 in monthly earnings, 32% between $680 and $4,100, and 15% over $4100.9 Until 1984, Social Security benefits were exempt from the income tax. In 1983, Congress made up to 50% of Social Security benefits taxable for higher income beneficiaries; and in 1993, up to 85% was made taxable. The taxes collected are credited to the OASDI Trust Funds and the Medicare Hospital Insurance (Part A) Trust Fund, respectively. According to CBO, about 40% of beneficiaries are impacted by the tax.10

Social Security Disability Insurance (SSDI) Disability Insurance replaces a portion of a worker’s income when illness or disability pre- vents him or her from working. Social Security’s Disability Insurance program, established in

TABLE 3-4.1 Average Monthly Social Security Benefits (2007) Beneficiaries (where the worker’s benefits are vested due to 40 quarters of contributions) Average Monthly Benefit Old-Age Insurance Retired workers $ 1,050 Retired worker and spouse $ 1,569 Retired couple, both receiving benefits $ 1,713 Dependent children of retired workers $ 523 Survivors Insurance Aged widow(er) alone $ 1,008 Widow(er) with two dependent children (under age 16) $ 2,167 Dependent child (under age 16) of deceased worker $ 687 Disability Insurance Disabled workers $ 979 Disabled worker and spouse $ 1,236 Disabled worker, spouse, and one or more children $ 1,646 Source: Social Security Administration.11 03_4part.qxp 11/19/07 7:33 PM Page 172

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1956, provides monthly cash benefits for disabled workers (and their dependents12) who have paid into the system, met minimum work requirements, and qualify as unable to engage in “substantial gainful activity” due to a physical or mental impairment.13 SSDI requires that a person wait five months from the onset of a disability before receiv- ing SSDI benefits,14 the purpose being to discourage fraudulent claims. Twenty-four months after SSDI coverage begins, the disabled worker is also entitled to Medicare coverage.15 SSDI benefits, once approved, continue as long as the individual remains disabled or until he or she reaches the normal retirement age, at which time the benefits automatically convert to retirement benefits. Periodically, SSA conducts “continuing disability reviews” (CDRs) to determine whether the individual is still disabled. Similar to retirement benefits, initial benefits are based on a worker’s past average monthly earnings, indexed to reflect changes in national wage levels and adjusted upward for low earn- ers. Each subsequent year, benefits are adjusted upward to compensate for consumer price inflation. At the end of 2006, SSDI was paying out an average of $937 per month to disabled work- ers, $249 for spouses of disabled workers, and $281 for children.16 There were a total of 8.6 million beneficiaries and dependents.17

COMMON MYTHS ABOUT SOCIAL SECURITY Myth: There are no Social Security Trust Funds. Fact: Payroll taxes withheld from workers’ paychecks are deposited in the U.S. Treasury and credited to the Old Age, Survivors, and Disability Insurance Trust Funds in the form of U.S. Treasury securities. When benefit checks are issued by the U.S. Treasury, equiv- alent amounts of U.S. securities are debited from the Trust Funds. When payroll taxes exceed benefits in a particular year, the surpluses are reflected as increasing amounts of U.S. securities held by the Trust Funds.18

Myth: Congress has been “raiding” the Social Security Trust Funds to pay for other gov- ernment programs. Fact: As noted above, Social Security surpluses are, by law, invested in U.S. Treasury securities. As with any public or private funds invested in Treasury securities, the Social Security surpluses become available for expenditure on other Federal programs. Begin- ning in 2017, when Social Security payroll taxes are projected to be insufficient to cover benefit payments, the Treasury will begin to draw down the accumulated Treasury secu- rities held by the Trust Funds to cover the shortfall in payroll taxes.

Myth: Each worker has his or her own Social Security retirement “account” at the Social Security Administration. Fact: No—Social Security is not a personal investment program. It is a “pay-as-you-go” Federal entitlement program where current workers fund benefits for current retirees and disabled Americans. 03_4part.qxp 11/19/07 7:33 PM Page 173

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Myth: Congress doesn’t pay into Social Security. Fact: Prior to 1984, Members of Congress, like all Federal employees, were not covered by Social Security and did not pay into the system; they had a separate Civil Service Retirement System. In 1984, Congress established a new Federal retirement system requiring all Federal employees, including Members of Congress, to participate in Social Security.

Issue: Does the Social Security program face collapse due to the “perfect storm” of (1) the baby boom retirement, (2) longer life spans, and (3) low birthrates? It is true that these three factors will, if unaddressed, place a significant burden on the U.S. Treasury and private credit markets. However, the Social Security system does not face immi- nent collapse and, more importantly, can be fixed with fairly simple adjustments if the two political parties can muster the political will to make the necessary changes. (By contrast, as discussed in chapter 3-6, the explosive growth of Medicare and Medic- aid pose far more serious—and complex—challenges to the nation.) The basic facts on the long-term outlook for Social Security are (1) annual Social Secu- rity benefits are projected to exceed payroll tax revenues between 2017 and 2019;19 (2) at that time, the Social Security system will begin to draw down the significant surpluses it has been accumulating ($2.2 trillion at the end of FY 2007); (3) the surpluses, by law, are invested in U.S. Treasury bonds (the safest securities available); (4) between 2041 and 2046,20 the sur- pluses will be depleted and will no longer be able to cover the gap between revenues and expenditures; (5) at that time, payroll taxes will only cover 74%–79% of program costs21 (assuming current law remains unchanged); and (6) SSA would no longer have legal author- ity to pay full benefits. 03_4part.qxp 11/19/07 7:34 PM Page 174

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TABLE 3-4.2 The Declining Ratio of Covered Workers to Beneficiaries22

Note: Between 2010 and 2030, the number of people age 65 and older is projected to grow by 76%. In con- trast, the number of workers supporting the system is projected to grow by 6%.23 Covered Ratio of Covered Workers Workers Beneficiaries per Beneficiary 1950 48,280,000 2,930,000 16.5 to 1 1960 72,530,000 14,262,000 5.1 to 1 1970 93,090,000 25,186,000 3.7 to 1 1980 113,649,000 35,118,000 3.2 to 1 1990 133,672,000 39,470,000 3.4 to 1 2000 154,732,000 45,166,000 3.4 to 1 2005 158,718,000 47,993,000 3.3 to 1 2010 (projected) 166,717,000 52,604,000 3.2 to 1 2020 (projected) 176,049,000 67,977,000* 2.6 to 1* 2030 (projected) 181,110,000 83,524,000* 2.2 to 1* 2040 (projected) 186,581,000 91,077,000 2.0 to 1 2050 (projected) 191,869,000 95,340,000 2.0 to 1 2060 (projected) 196,467,000 100,389,000 2.0 to 1 2070 (projected) 200,744,000 105,828,000 1.9 to 1 *Note the massive increase in beneficiaries as the baby boom generation retires and the concurrent decline in covered workers per beneficiary, from 3.2 in 2010 to 2.2 by 2030.

We can be certain the Treasury will redeem the bonds held by the Social Security Trust Funds as the surpluses are needed to cover annual shortfalls. However, the Treasury’s obliga- tion to do so in 2017 and beyond will place substantial fiscal pressures on credit markets and the economy. To redeem the securities, the Treasury will have to borrow funds, raise taxes, or cut spending, or some combination of the three. The most likely scenario is borrowing; that is, the debt currently held by the Social Security Trust funds will be “rolled over” (converted) into debt held by the public. If America’s current non–Social Security budget deficits24 continue, the combined pres- sures of borrowing to cover budget deficits and to redeem bonds held by the Social Security Trust Funds risk higher interest rates, inflation, and greater indebtedness to foreign nations. Clearly, to avoid this dismal economic scenario, Social Security needs to be “adjusted” so that benefits do not outpace income.

Issue: Are Individual Accounts the Solution? Shortly after the 2004 presidential election, President George W. Bush proposed creating “indi- vidual accounts” (IAs) to address the long-term solvency issues facing Social Security. Presi- dent Bush was correct that Social Security solvency needs to be addressed—and the sooner the better. Regrettably, his proposal for individual accounts would have worsened the solvency of Social Security and increased the nation’s debt.25 03_4part.qxp 11/19/07 7:34 PM Page 175

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Under the IA proposal, existing beneficiaries would keep the current system, as would workers above a specified cutoff age. Younger workers who choose to participate would be able to divert a portion of their payroll taxes (between 2% and 4% of payroll) into an indi- vidual account up to a maximum contribution. In exchange, they would accept a future reduc- tion in guaranteed Social Security benefits, wagering that their IA would earn a return larger than the reduction in benefits.26 It is this reduction in future benefits that allows the IA approach to claim that it fixes long-term solvency. Unfortunately, the IA proposal is seriously flawed for the following reasons:

1 Social Security is a “pay-as-you-go” program, with current workers’ payroll taxes paying for current retirees’ benefits. Consequently, allowing younger workers to divert a signif- icant chunk of their payroll taxes from the Social Security Trust Funds into IAs would leave the Trust Funds without sufficient funds to deliver benefits to current retirees, neces- sitating government borrowing in excess of $2.5 trillion.27 2 The plan would achieve long-term “solvency” for Social Security exclusively through large benefit cuts. 3 If market returns on the IAs are lower than anticipated, millions of retirees could end up with insufficient retirement funds to cover basic necessities. 4 Linking IA proceeds to stock prices would undermine Social Security’s fundamental strength as social insurance that guarantees benefits to retirees, their dependents and sur- vivors to prevent poverty.

Ultimately, the various IA proposals are driven by ideological assertions that may appear compelling at first glance: giving those who are less well-off a chance to accumulate financial assets; limiting the government’s role in retirement planning; encouraging individuals to assume greater responsibility for their own well-being; and improving the overall economy by pumping IA contributions into financial markets (which seems to ignore the $2 trillion the government would have to borrow from the markets during the transition to the new sys- tem).28 Unfortunately, the ideology is not supported by fiscal realities.

Issue: Fixing Social Security An effective Social Security “fix” is not technically complicated but is politically complicated in today’s highly partisan environment. Fixing the system requires a commitment by both parties to work together, as they did on the Greenspan Commission appointed by President Reagan in the early 1980s and on which Senator Moynihan (D-NY) and Senator Bob Dole (R-KA) served. What is needed is a carefully balanced package of:

• small and gradual increases in the retirement age29 (reflecting longer life spans, improv- ing the worker-to-retiree ratio, and increasing the payroll tax base); • correcting the calculation of annual COLAs or placing modest limits on COLAs;30 • using “progressive indexing” to slow the growth in initial benefits for higher income retirees;31 • a modest increase in the taxation of Social Security benefits for high-income individu- als;32 and 03_4part.qxp 11/19/07 7:34 PM Page 176

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• increasing or lifting the cap on income subject to Social Security taxes33 coupled with a reduction in the FICA tax rate, which would yield more total revenue, while reducing the payroll tax burden on lower- and middle-income Americans, generating a more pro- gressive payroll tax. (The current payroll tax is highly regressive, with the wealthiest 1% of American families paying a smaller proportion of their income in payroll taxes than the poorest 20% of families.)34

The sooner these adjustments are made the better, considering the fiscal crunch the Treasury will face when the Social Security Trust Funds begin redeeming bonds in 2017. Individual accounts are worthy of careful consideration, but as an optional add-on to the current system to stimulate further national savings—not as a substitute for the current sys- tem of guaranteed retirement and disability benefits, which has successfully prevented tens of millions of Americans from slipping into poverty when they are no longer able to work.

RR workers and the Railroad Retirement Board (FY 2007: $5.9 billion) Many of the nation’s railroad workers receive Railroad Retirement Board (RRB) benefits instead of Social Security benefits.35 This practice dates back to 1936 when Congress sought to shore up the stability of the nation’s railroads by assuming responsibility for administration of the railroad industry’s employee benefits. The Railroad Retirement Board (RRB)—an independent Federal agency established by Congress to fulfill this responsibility—administers retirement, survivor, dis- ability, and other benefits for railroad workers and their families. Railroad retirees receive the equivalent of Social Security benefits (known as Tier I ben- efits) funded by the Social Security Trust Funds. They may also receive a rail industry pen- sion collectively bargained like other private pension plans “but embedded in Federal law” and funded by the rail sector (known as Tier II benefits).36 Tier I benefits are financed with a payroll tax identical to the Social Security payroll tax. The Tier II tax is 12.1% for employers and 3.9% for employees on earnings up to $72,600 in 2007.37 In addition to Tier I and Tier II payroll taxes, RRB payments to beneficiaries are also funded by the financial interchange with the Social Security trust funds, interest earned on surpluses, and income taxes levied on RRB benefits. In FY 2007, net budget authority for RRB was $5.9 billion and beneficiaries numbered 573,000.38

Notes

1. Social Security payroll taxes are often called FICA taxes, after the legislation that created them: the Federal Insurance Contribution Act. The self-employed pay the SECA tax, named for the Self- Employed Contribution Act, which roughly equals the total of the employer and employee contribu- tions. Total FICA taxes amount to 15.3%, with most of the FICA tax (12.4% of payroll) going into the Social Security Trust Funds. The remaining 2.9% of payroll goes into the Medicare Part A (Hospital Insurance) Trust Fund and is often called the “Medicare Tax.” (See chapter 3-6 for an explanation of Medicare.) For tax year 2007, the Social Security portion of FICA is imposed on the first $97,500 of income (adjusted annually for inflation), while the Medicare portion is imposed on all income. Impor- tant note on the SECA tax: While it may appear that the self-employed pay exactly double a worker’s 03_4part.qxp 11/19/07 7:34 PM Page 177

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tax, it is actually somewhat less than double because 7.65% of taxable income is excluded from SECA tax, and one-half of the SECA tax is deductible from income (as it is when employers pay their share of payroll taxes). 2. Social Security Administration, Monthly Statistical Snapshot, June 2007, http://www.ssa.gov/ policy/docs/quickfacts/stat_snapshot/. 3. Arloc Sherman and Isaac Shapiro, “Social Security Lifts 13 Million Seniors above the Poverty Line: A State-by-State Analysis” (Washington, D.C.: Center on Budget and Policy Priorities, February 24, 2005). 4. “Spousal benefits are intended for individuals who are financially dependent on spouses who work in Social Security-covered positions. Individuals who qualify for both a Social Security worker benefit . . . based on their own work history and a Social Security spousal benefit based on their spouse’s work history are ‘dually-entitled’ and are subject to the dual entitlement rule [which] requires that 100% of a Social Security ...benefit earned as a worker (based on one’s own Social Security-covered earn- ings) be subtracted from any Social Security spousal benefit one is eligible to receive.” Laura Haltzel, “Social Security: The Government Pension Offset,”RL32453 (Washington, D.C.: Congressional Research Service, March 8, 2007), summary. 5. Dawn Nuschler and Alison Siskin, “Social Security Benefits for Noncitizens: Current Policy and Legislation,”R32004 (Washington, D.C.: Congressional Research Service, June 25, 2007). 6. The inflation adjustment is tied to the Consumer Price Index for Urban Wage Earners and Cler- ical Works or CPI-W. Gary Sidor, “Social Security: The Cost-of-Living Adjustment in January 2007,”94-803 EPW (Washington, D.C.: Congressional Research Service, January 2007), 1. 7. Kathleen Romig and Scott Szymendera, “Social Security Survivors Benefits,” RS22294 (Wash- ington, D.C., Congressional Research Service, January 18, 2007, 1. 8. See Social Security’s “Full Retirement Age Schedule,” at http://www.ssa.gov/retire2/retirechart .htm#chart. 9. Laura Haltzel, “Social Security: The Windfall Elimination Provision (WEP),” 98-35 (Washing- ton, D.C.: Congressional Research Service, March 8, 2007), 1. 10. Christine Scott, “Social Security: Calculation and History of Taxing Benefits,” RL32552 (Wash- ington, D.C.: Congressional Research Service, May 10, 2007.” 11. “Monthly Statistical Snapshot,” June 2007, www.socialsecurity.gov/policy/docs/quickfacts/stat _snapshot/; and “Fact Sheet: 2007 Social Security changes,” www.ssa.gov/pressoffice/factsheets/ colafacts2007.pdf. 12. Spouses, surviving disabled spouses, and children. Scott Szymendera, “Primer on Disability Ben- efits,”RL32279 (Washington, D.C.: Congressional Research Service, December 26, 2006), 1. 13. SSA uses a five-part test to determine whether an individual qualifies as disabled: work test, sever- ity test, medical listings test, previous work test, and any work test. Scott Szymendera, “Primer on Dis- ability Benefits,”RL32279 (Washington, D.C.: Congressional Research Service, December 26, 2006), 4, 8–9. 14. Scott Szymendera, “Social Security Disability Insurance: The Five-Month Waiting Period for SSDI Benefits,”RS22220 (Washington, D.C.: Congressional Research Service, December 26, 2006), 1. 15. Scott Szymendera, “Primer on Disability Benefits,” RL32279 (Washington, D.C.: Congressional Research Service, December 26, 2006), 5. For a discussion of the purpose of the 24-month waiting period, see Julie M. Whittaker, “Social Security Disability Insurance (SSDI) and Medicare: The 24-month Waiting Period for SSDI Beneficiaries under Age 65,” RS22195 (Washington, D.C.: Congressional Research Service, July 14, 2005). 16. Scott Szymendera, “Primer on Disability Benefits,” RL32279 (Washington, D.C.: Congressional Research Service, December 26, 2006), 3. 03_4part.qxp 11/19/07 7:34 PM Page 178

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17. Current law requires that a person wait five months from the onset of a qualifying disability before receiving Social Security disability benefits. CRS, “Social Security Disability Insurance: The Five- Month Waiting Period for SSDI Benefits,”Library of Congress: August 15, 2005. 18. For more information on the Trust Funds, see Christine Scott, “Social Security: The Trust Fund,” RL33028 (Washington, D.C.: Congressional Research Service, April 24, 2007); Geoffrey Kollman, “Social Security: Where Do Surplus Taxes Go and How Are They Used?” 94-593 EPW (Washington, D.C.: Con- gressional Research Service, September 8, 2003), 1. 19. The Social Security Trustees’ report projects 2017 and the Congressional Budget Office projects 2019. “The 2007 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insur- ance and Federal Disability Insurance Trust Funds” (Washington, D.C.: April 23, 2007), 16; and CBO, “Updated Long-Term Projections for Social Security” (Washington, D.C.: Congressional Budget Office, June 2006), 1. 20. The Social Security Trustees’ report projects 2041 and the Congressional Budget Office projects 2046. “The 2007 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insur- ance and Federal Disability Insurance Trust Funds” (Washington, D.C.: April 23, 2007), 16; and CBO, “Updated Long-Term Projections for Social Security” (Washington, D.C.: Congressional Budget Office, June 2006), 1. 21. The Social Security Trustees’ report projects 75% and CBO projects 79%. “The 2007 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disabil- ity Insurance Trust Funds” (Washington, D.C.: April 23, 2007), 16; and CBO, “Updated Long-Term Pro- jections for Social Security” (Washington, D.C.: Congressional Budget Office, June 2006), 1. 22. Gary Sidor, “Social Security: Brief Facts and Statistics,”94-27 (Washington, D.C.: Congressional Research Service, January 26, 2006, 10. 23. Dawn Nuschler, “Social Security Reform,” IB98048 (Washington, D.C.: Congressional Research Service, May 1, 2006). 24. When Congress and the President asserted during 2007 their adoption of a “balance budget” by 2012, they were using ongoing Social Security surpluses to “mask” underlying structural deficits in the budget. See “The Dance between the Unified Budget and Social Security Spending” in chapter 2-9. 25. See Laura Haltzel, “Social Security Reform: President Bush’s 2005 Individual Account Proposal,” RL32879 (Washington, D.C.: Congressional Research Service, March 9, 2006), 9. 26. This reflects the plan proposed by President George W. Bush shortly after reelection in 2004, as explained in a CRS Memorandum, by Laura Haltzel, to the Honorable Charles Rangel dated March 31, 2005. The proposal is based on “Model 2” of the President’s Commission to Strengthen Social Security which released its final report on December 21, 2001. See: http://www.csss.gov/. 27. Dawn Nuschler and Geoffrey Kollmann, “Social Security Reform: Effect on Benefits and the Fed- eral Budget of Plans Proposed by the President’s Commission to Strengthen Social Security,”RL32006 (Washington, D.C.: Congressional Research Service, July 15, 2003). 28. Lawrence H. Thompson, “Administering Individual Accounts in Social Security” (Washington, D.C.: Urban Institute, February 1, 1999). 29. The retirement age, under current law, is gradually increasing to age 67. 30. Social Security benefits are adjusted upward annually to reflect inflation as measured by the Bureau of Labor Statistics’ (BLS) Consumer Price Index (CPI). However, some argue that the methodology for calculating the CPI overstates annual inflation. In 1994, CBO estimated that the overstatement ranges from 0.2 to 0.6 percentage points, and a 1996 report to the Senate Finance Committee estimated it could be as high as 1.1 percentage points. The BLS has made adjustments to its calculations, but some observers suggest that CPI continues to be somewhat overstated. Slowing Social Security benefit growth by “fix- ing” the CPI, or slowing the annual increases by using CPI-minus-1% each year rather than the full CPI, could dramatically improve Social Security’s fiscal outlook. SSA estimates that CPI-minus-1 “would 03_4part.qxp 11/19/07 7:34 PM Page 179

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improve the long-range actuarial balance by an estimated 80%.” Dawn Nuschler, “Social Security Reform,”IB98048 (Washington, D.C.: Congressional Research Service, May 1, 2006). 31. “Progressive indexing” would constrain the growth of initial benefits for future retirees by tying lower wage earner benefits to wage growth (as under current law) and higher wage earner benefits to price growth (inflation). Price growth is lower than wage growth, so that higher wage earners’ initial benefits would grow more slowly than lower wage earners’ initial benefits. See Dawn Nuschler, “Social Security Reform: Current Issues and Legislation,”RL33544 (Washington, D.C.: Congressional Research Service, May 18, 2007), 17. 32. A portion of Social Security benefits are currently taxable for higher-income beneficiaries. See Gary Sidor, “Social Security: Brief Facts and Statistics,”94-27 (Washington, D.C.: Congressional Research Service, January 26, 2006, 20–21. 33. $97,500 in 2007. 34. Thomas Hungerford, “Increasing the Social Security Payroll Tax Base: Options and Effects on Tax Burdens,”RL33943 (Washington, D.C.: Congressional Research Service, April 6, 2007). 35. Lifelong railroad workers receive their benefits from the RRB. Others with experience inside and outside the railroad industry receive benefits from either RRB or Social Security, depending on length of service. Kathleen Romig, “Railroad Retirement Board: Retirement, Survivor, Disability, Unemployment, and Sickness Benefits,”RS22350 (Washington, D.C.: Congressional Research Service, January 16, 2007). 36. Office of Management and Budget, Budget of the United States, FY 2008, Appendix, 1119–24. 37. Tier II taxes are used to finance Tier II benefits, supplemental annuities, and a portion of Tier I benefits. Romig, “Railroad Retirement Board,”5. 38. Romig, “Railroad Retirement Board,”6. 03_4part.qxp 11/19/07 7:34 PM Page 180 03_5part.qxp 11/19/07 7:33 PM Page 181

CHAPTER 3-5

Interest Payments—The Fourth-Largest Federal “Program”

Estimated FY 2008 Net Interest Payments: $253 billion1 8% of Federal Spending

See www.GovBudget.com for updated numbers

In a Nutshell Net interest is the amount of interest the Federal government pays over the course of a year to domestic and foreign investors holding U.S. Treasury securities. Net interest does not include interest paid to Federal Trust Funds (such as the Social Security Trust Funds) because those are intragovernmental transactions that do not result in Federal outlays. However, net interest does include interest paid to the Federal Reserve System because the Federal Reserve’s operations are independent of the Federal Budget.

KEEPING THE TERMINOLOGY STRAIGHT: NET INTEREST VERSUS GROSS INTEREST, “PUBLIC DEBT” VERSUS “DEBT HELD BY THE PUBLIC”

To fully understand what net interest refers to, it is necessary to be acquainted with some of the terminology used in the world of federal borrowing and debt:

• A budget deficit is the amount by which spending exceeds revenues in a single fis- cal year. The Federal Government covers the revenue shortfall by borrowing funds. Funds are borrowed by issuing U.S. Treasury securities (bills, notes, and bonds) to individual and institutional investors. • In general, Federal Debt is the accumulation of annual deficits (which continue to pile up until the government runs a surplus to pay down some of the Debt). As illustrated in Figure 3-5.1, there are two types of Federal Debt:

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1. Debt Held by Government Accounts are Treasury securities issued to Federal trust funds (such as Social Security), which must by law invest all operating sur- pluses in Federal securities. 2. Debt Held by the Public is the accumulated debt issued to all non-Federal sources including individual investors, businesses, financial institutions, state and local governments, and foreign governments. In addition, Debt Held by the Public includes securities purchased by the Federal Reserve System (because its operations are independent of the Federal Budget). • Gross Federal Debt (often referred to as Public Debt) is the total of “Debt Held by the Public” plus “Debt Held by Government Accounts.” • Many economists believe that Debt Held by the Public is significant as the best mea- sure of how much available credit is being consumed by the Federal Government. • Gross Interest is total interest paid on Gross Federal Debt (i.e., interest paid to gov- ernment trust funds plus interest paid to all individual and institutional investors). • Net Interest is interest paid on Debt Held by the Public (i.e., interest paid to all non-Federal holders of Treasury securities, as well as to the Federal Reserve System).

Background As illustrated in figure 3-5.1, the Federal Government’s net interest costs are determined by two factors: (1) the amount of Debt Held by the Public and (2) prevailing interest rates. Con- sequently, net interest is the only category of Federal spending that cannot be directly reduced by legislative action. Treasury securities may be purchased from the U.S. Treasury or in the secondary market by individual investors, businesses, financial institutions in the U.S. or overseas, the Federal Reserve System (to increase the money supply2), State and local governments, and foreign individuals or governments. Federal debt is held in a variety of forms with varying interest rates tied to maturity dates. The Treasury Department uses a variety of instruments—Bills, Notes, Bonds, and Treasury Inflation-Protected Securities (TIPS) to finance the Federal debt. Bills mature in less than one year, Notes and TIPS between two and twenty years, and Bonds in ten years or longer. As with certificates of deposit, short-term securities typically have lower interest rates than longer- term securities, giving the Treasury some small degree of maneuvering room in holding down interest payments through “debt management.” As reflected in table 3-5.1, interest payments dipped in the early part of this decade due to falling interest rates as the Federal Reserve responded to the 2001 recession5 by reducing the Federal Funds Rate (the rate charged by Federal Reserve Banks to member banks). More recently, interest rates have moved higher with the increasing Federal debt and the efforts of the Federal Reserve to combat inflationary pressures with a higher Federal Funds Rate.

Issue: Foreign Holdings of U.S. Debt Foreign investment in Federal debt has grown in recent years, prompting some observers and policymakers to express concerns about foreign ownership of U.S. securities. As reflected in 03_5part.qxp 11/19/07 7:33 PM Page 183

INTEREST PAYMENTS—THE FOURTH-LARGEST FEDERAL “PROGRAM” 183

FIGURE 3-5.1 Relationship of Net Interest Payments to Debt Held by the Public (at the end of FY 20073)

*Note on Federal Reserve System: Securities purchased by the Federal Reserve System are included in “Debt Held by the Public” (rather than Debt Held by Government Accounts) because the Federal Reserve System and its operations are independent of the Federal Budget. The “Fed” operates without appropriations from Con- gress and derives income from fees for banking services and interest on Treasury securities. In FY 2006, nearly 16% of “Debt Held by the Public” consisted of securities held by the Federal Reserve System. The Fed “pur- chases” Treasury securities in the secondary market to ease credit conditions by increasing the money sup- ply. This is a more direct means of impacting the money supply and general credit conditions than the much publicized adjustment of the interest rate charged by Federal Reserve Banks to member financial institutions (Federal Funds Rate). 4

table 3-5.2, foreign holdings as a percentage of debt held by private investors9 increased from 37.5% in March 2002 (about $1.1 trillion) to 51.5% in March 2007 ($2.2 trillion). Of that amount, approximately 60% is held by foreign governments and the remainder by private for- eign investors.10 As illustrated in figure 3-5.2 Japan continues to be the largest foreign holder of U.S. Trea- sury Securities, holding almost one-third of all foreign investment in both 2001 and 2006. China, with its rapidly expanding economy and large trade surpluses, has nearly tripled its share of foreign holdings in U.S. securities, from 6.6% in 2000 to 19.1% in 2007 ($414 billion). Some believe that this trend represents a risk to U.S. economic security. Specifically, the concern is that a foreign government holding a large amount of U.S. securities, such as China, or a group of nations collectively holding a large amount of securities, could engage in a “rapid diversification out of dollar assets” as a form of economic pressure on the United States. Such a move could cause a collapse of the dollar’s value, increase interest rates, and trigger a major downturn in U.S. stock markets, putting the U.S. economy at risk of recession.12 03_5part.qxp 11/19/07 7:33 PM Page 184

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TABLE 3-5.1 Net Interest Payments Determined by Debt Held by the Public and Interest Rates (Debt and Net Interest Payments in Billions of Dollars) Fiscal Year 2000 2001 2002 2003 2004 2005 2006 2007 Gross Federal Debt (end of year) 5,629 5,770 6,198 6,760 7,355 7,905 8,451 8,964 Debt Held by Govt. Accounts 2,219 2,450 2,658 2,847 3,059 3,313 3,622 3,907 Debt Held By the Public 3,410 3,320 3,540 3,913 4,296 4,529 4,829 5,057

Interest Rates Federal Funds Rate 6.24 3.88 1.67 1.13 1.35 3.22 4.97 5.256 6-month Treasury Bills 5.92 3.39 1.69 1.06 1.58 3.40 4.81 4.8657 10-year Treasury Notes 6.03 5.02 4.61 4.01 4.27 4.29 4.80 5.108

Net Interest Payments 223 206 171 153 160 184 227 235 Note: This table illustrates that net interest payments are determined by two factors: the amount of “debt held by the public” and interest rates. For example, note that net interest payments declined from 2000 to 2001 for two reasons: debt held by the public declined at the end of the Clinton Administration when the Federal Government was running a budget surplus and interest rates declined during 2001 as the Federal Reserve responded to a recession. Net interest payments continued to decline in 2002 and 2003, despite increases in debt held by the public, because of the dramatic decline in interest rates as the Federal Reserve maintained its efforts to stimulate the economy with dramatic reductions in the Federal Funds Rate. Thereafter, the increases in net interest payments reflect the growing debt held by the public and increasing interest rates.

TABLE 3-5.2: Foreign Ownership of U.S. Treasury Securities11 ($ in billions) Foreign Holdings as a End of Month Debt Held by Debt Held by Percentage of Debt Held Private Investors* Foreign Investors by Private Investors March 2007 $4,273 $2,199 51.5% March 2006 $4,114 $2,085 50.7% March 2005 $3,855 $1,956 50.7% March 2004 $3,503 $1,677 47.9% March 2003 $3,070 $1,286 41.9% March 2002 $2,849 $1,067 37.5%

*Reflects Debt Held by the Public excluding debt held by the Federal Reserve System.

Others, however, regard this scenario as highly unlikely. In a recent report to Congress, CRS concluded that “the special role that the dollar plays in international finance and the strength and stability of the U.S. financial markets (including Treasury securities) make them attractive sources for foreign investment. These factors generally encourage the retention of dollar assets by foreigners. As a result, the levels of foreign holdings of federal debt are cur- rently neither a threat nor a problem for the nation.”13 03_5part.qxp 11/19/07 7:33 PM Page 185

INTEREST PAYMENTS—THE FOURTH-LARGEST FEDERAL “PROGRAM” 185

Regardless of one’s attitude regarding the distribution of U.S. debt, most would agree that the vast foreign holdings of U.S. securities is a symptom of the rapid and unsustainable growth in U.S. debt.

Recommended Sources for More Information on Net Interest and Foreign Holdings of Federal Debt

• Treasury Department: “The Debt to the Penny and Who Holds It”: http://www.treasurydirect .gov/NP/BPDLogin?application=np.

FIGURE 3-5.2 Major Foreign Holders of U.S. Securities: 2001 (top) versus 2007 (bottom)14 in billions of dollars

Japan, 322

All Other, 359

China, 72 Singapore, 33

Germany, 54 UK, 78 Hong Kong, 39 Taiwan, 44 Oil Exporters, 44 Carribean Banks, 44

All Other, 359

Japan, 615

Luxembourg, 62

Brazil, 80

Germany, 50 Hong Kong, 56

Taiwan, 59

Caribbean Banks, 77 China, 414 S. Korea, 54 Oil Exporters, 112 UK, 135 03_5part.qxp 11/19/07 7:33 PM Page 186

186 AMERICA’S PRIORITIES

• OMB: “Federal Borrowing and Debt,”Analytical Perspectives, chapter 16, Budget of the U.S. Gov- ernment, FY 2008; Mid-Session Review, FY 2008, Table S-13. • Council of Economic Advisors, Executive Office of the President: Economic Report of the President, February 2007. • GAO: “Federal Debt: Answers to Frequently Asked Questions,”August 2004, http://www.gao.gov/ new.items/d04485sp.pdf. • CBO: “Budget and Economic Outlook,”January 2007, pp. 19–22. • CRS: “Interest Payments on the Federal Debt: A Primer,”RS22354, May 4, 2007; “Structure and Func- tions of the Federal Reserve System,” RS20826, April 17, 2007; “Foreign Holdings of Federal Debt,” RS22331, March 14, 2007; “Growth in Foreign Holdings of Federal Debt,”RL33723, November 13, 2006.

Notes

1. Office of Management and Budget, “Mid-Session Review: Budget of the U.S. Government, Fiscal Year 2008”(Washington, D.C.: OMB, July 2007), 32, http://www.whitehouse.gov/omb/budget/fy2008/ pdf/08msr.pdf. 2. See Pauline Smale, “Structure and Functions of the Federal Reserve System,” RS20826 (Wash- ington, D.C.: Congressional Research Service, April 17, 2007), for an explanation of how the Fed’s pur- chase of Treasury securities increases the money supply. 3. Numbers are rounded. OMB’s July 2007 midsession review projected debt outstanding at the end of FY 2007 as follows: Debt held by Govt Accounts: 3,907 billion; Debt held by the public: 5,057 billion, Gross Federal Debt: $8,964 billion. For current numbers, visit http://www.treasurydirect.gov/ NP/BPDLogin?application=np. 4. Pauline Smale, “Structure and Functions of the Federal Reserve System,”RS20826 (Washington, D.C.: Congressional Research Service, April 17, 2007), 1–2. 5. For more information on the 2001 recession, see Business Cycle Dating Committee, National Bureau of Economic Research, http://www.nber.org/cycles/recessions.html (accessed July 22, 2007). 6. Federal funds rate, as of June 28, 2007, Federal Reserve Release: http://www.federalreserve.gov/ boarddocs/press/monetary/2007/20070628/. 7. As of July 18, 2007, www.bankrate.com/brm/ratewatch/treasury.asp. 8. As of July 18,2007, www.bankrate.com/brm/ratewatch/treasury.asp. 9. Debt held by private investors is “Debt Held by the Public” minus debt held by the Federal Reserve System. 10. Justin Murray and Marc Labonte, “Foreign Holdings of Federal Debt,” RS22331 (Washington, D.C.: Congressional Research Service, March 14, 2007), 4. 11. Table OFS-2, Estimated Ownership of U.S. Treasury Securities, from the March 2007 Treasury Bulletin, Financial Management Service of the U.S. Treasury, http://www.fms.treas.gov/bulletin/ (click on link for “ownership of Federal securities”). 12. Phillip Winters, “Growth in Foreign Holdings of Federal Debt,” RL33723 (Washington, D.C.: Congressional Research Service, November 13, 2006), summary. 13. Winters, , “Growth in Foreign Holdings of Federal Debt,”summary. 14. The U.S. Treasury Department International Capital System provides historical data on Major For- eign Holders of Treasury Securities http://www.treas.gov/tic/mfhhis01.txt; and current estimates at http://www.treas.gov/tic/mfh.txt. Oil exporters include Ecuador, Venezuela, Indonesia, Bahrain, Iran, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, the United Arab Emirates, Algeria, Gabon, Libya, and Nigeria. Caribbean Banking Centers include the Bahamas, Bermuda, the Cayman Islands, Netherlands Antilles, and Panama. Beginning with a new series for June 2006, they also include the British Virgin Islands. 03_6part.qxp 11/20/07 10:27 AM Page 187

CHAPTER 3-6

Health Care: The Nation’s Greatest Fiscal Challenge

Rising health care costs and their consequences for federal health insurance programs con- stitute the nation’s central fiscal challenge....Ifhealth care costs continue growing at the same rate over the next four decades as they did over the past four decades, federal spending on Medicare and Medicaid alone would rise to about 20 percent of GDP by 2050—roughly the share of the economy now accounted for by the entire federal budget.—Peter Orszag, director of the Nonpartisan Congressional Budget Office, June 21, 2007 1 (emphasis added)

s highlighted in the opening excerpt from CBO Director Orszag’s recent congressional Atestimony, exploding health care costs—particularly Medicare and Medicaid—pose a staggering challenge to America’s fiscal and economic future. Paradoxically, while our nation spends more and more of our public resources on health care, the number of uninsured Americans—now estimated at 47 million—continues to grow.2 This chapter surveys the broad array of Federal and Federal-State programs that are threatening to consume all of our public resources but paradoxically have left tens of millions of Americans without access to basic health care.

TABLE 3-6.1 The Patchwork Quilt of America’s Health Care “System”

In America, you have access to affordable health care if: • You are 65 or older (Medicare). • You work for an employer who provides group health insurance. • You recently worked for an employer who provided group health coverage, and you can afford to pay for COBRA continuation coverage (which allows you to continue the coverage for 18 months by paying the employee’s share and the employer’s share of the monthly health premium—often costing over $1,000 per month for a family). (Continued)

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TABLE 3-6.1 The Patchwork Quilt of America’s Health Care “System” (Continued)

• Your COBRA coverage recently ended, and you can afford to buy a HIPAA health insurance policy, often costing over $2000 per month for a family (HIPAA refers to a Federal law that prevents health insurers from refusing coverage based on a preexisting condition, provided you have had group coverage for at least 18 months without a break in coverage).3 • You are a child or pregnant woman in a family at or below the Federal Poverty Level (Medic- aid). • You are aged, blind, or disabled, and your income is less than 75% of the Federal Poverty Level (Medicaid). • You live in a State that provides coverage to parents of children at the Federal Poverty Level (Medicaid). • You are a child in a low-income family that earns too much for Medicaid but is poor enough to qualify for the State’s SCHIP-funded program (State Children’s Health Insurance Pro- gram). • You are active duty military, a military retiree, or an immediate family member of a military person (TRICARE coverage).4 • You are a veteran in a “high-priority” group (i.e., service-connected disability and/or low- income) (Veterans Health Administration).5 • You are a dependent or survivor of a veteran permanently and totally disabled from a service- connected condition (CHAMPVA).6 • You cannot work due to a disability (after two years7 on Social Security disability, you are enti- tled to Medicare coverage). • You are an American Indian or an Alaskan Native and live near an Indian Health Service facility. • You live in one of the States that has enacted health reform legislation aimed at helping the uninsured gain access to affordable health insurance. Examples are the plans adopted by Massachusetts8 and Vermont.9 Other States, including California, are actively considering universal health coverage plans.10 • You live in one of the 34 states (e.g., Maryland) that have established a “high-risk health insur- ance pool,” and you qualify because you or a member of your family has a preexisting health con- dition that precludes you from obtaining or affording health insurance in the private market.11

In America, you do not have access to affordable health care if: • You are a full-time worker but your employer does not offer group health insurance or has recently dropped health coverage. (According to CRS, more than half of the nonelderly unin- sured are full-time, full-year workers or their family members.12) • You are a low-income, childless adult; States cannot use Federal funds to extend Medicaid to adults without children, unless they are pregnant or disabled (this gap in Medicaid coverage accounts for one-third of America’s uninsured). • You are a Medicaid parent (i.e., your children qualify for Medicaid because your family is at or below the poverty level, but you—the parents—do not qualify for Medicaid under your State’s program). • You work for a small business that cannot afford a group health insurance plan. • You are self-employed, and someone in your family has a preexisting medical condition (and you do not live in one of the 34 states that have a high risk insurance pool). 03_6part.qxp 11/20/07 10:27 AM Page 189

HEALTH CARE: THE NATION’S GREATEST FISCAL CHALLENGE 189

TABLE 3-6.1 The Patchwork Quilt of America’s Health Care “System” (Continued)

• You are disabled, under 65, not poor enough to be on Medicaid, and do not qualify for Social Security disability (or qualify but are in the two-year waiting period). • You were injured in the Iraq war but are nonmilitary (private contractors provide a wide range of services to the military). • You are unemployed. • The temporary COBRA continuation coverage13 for which you are eligible following the loss of a job is unaffordable or has expired, and the HIPAA portability coverage14 that follows COBRA (often costing a family $2,000 per month or more) is unaffordable. • You are a part-time worker ineligible for your employer’s health plan. • You are a legal immigrant and have been in the United States for less than five years (and qualify only for emergency Medicaid, under which coverage is limited to treatment required after the sudden onset of a medical emergency).

Medicare: National Health Insurance for Seniors and (Some) People with Disabilities

Estimated FY 2008 Total Medicare Spending: $456 billion15 15% of Federal Spending16

See www.GovBudget.com for updated numbers

I am proposing that every person over sixty-five years of age be spared the darkness of sickness without hope.—President Lyndon B. Johnson, in a message to Congress proposing Medicare17

In a Nutshell Medicare is a national health insurance entitlement program for nearly all Americans 65 and older. The program also covers workers who have become disabled18 and people diagnosed with end-stage renal disease or amyotrophic lateral sclerosis (ALS, or Lou Gehrig’s disease).19 Medicare has four parts:

• Part A Hospital Insurance, financed by current workers’ payroll taxes and covers hospi- tal services, posthospital services, and hospice care; • Part B Supplementary Medical Insurance, financed by general tax revenues and premi- ums, and provides optional coverage for physician services, outpatient hospital care, home health care and medical equipment; • Part C “Medicare Advantage” provides managed care options for beneficiaries enrolled in Parts A and B; and • Part D Prescription Drug Coverage, financed by general tax revenues and premiums, and provides optional prescription drug coverage for the elderly and disabled.

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190 AMERICA’S PRIORITIES

Myth: “National health insurance” is inconsistent with America’s free market culture.

Fact: The United States has had national health insurance for more than 40 years. Amer- ica’s national health insurance is the Medicare program, which has broad public support. Almost all persons age 65 and older, and many disabled Americans under 65, are enti- tled to Medicare coverage. Under Medicare, beneficiaries select their own doctors and hospitals, and Medicare pays the health care providers directly. In 2006, Medicare’s national health insurance covered over 36 million Americans 65 and older, and 7 mil- lion disabled Americans.22 Unfortunately, political rhetoric has obscured the difference between “national health insurance” (Medicare being a good example) and “socialized medicine” which generally refers to national health systems in other countries where doctors and other medical providers are government employees and health care is rationed by the government. As we address the growing health care crisis in America, it is important for all Americans to understand that national health insurance protects patients’ right to choose doctors and hospitals, and it is not “socialized medicine.”

The two most dangerous words in the English language are not “nuclear war.” They are “socialized medicine.”—President Lyndon B. Johnson23

annual “updates” and limitations on patient cost sharing (deductibles, coinsurance, and copay- ments). Rapidly rising Medicare expenditures are a source of widespread concern, with out- lays projected to double (in dollar terms) over the next decade and triple (as a percent of the economy) by 2050.

Background According to a recent report, Medicare’s beneficiaries are “highly satisfied with their coverage and feel confident in their ability to obtain care.”20 Together with Social Security, Medicare has contributed dramatically to the economic security of older Americans “resulting in the lowest rates of elderly impoverishment experienced by any generation.”21

Part A: Hospital Insurance Medicare Part A covers in-patient hospital services, posthospital services (including skilled nursing facility, or SNF, services and home health care), and hospice care. Medicare Part A is financed primarily by payroll taxes of 1.45%—paid by current employers and employees (with self-employed paying 2.9%). Together with the 6.2% Social Security payroll tax, this adds up to the familiar 7.65 % payroll tax that most American workers and employers pay. However, unlike Social Security payroll taxes that are applied to the first $97,50024 of income, the Medicare payroll tax is now applied to all income.25 Part A requires some ben- eficiary “cost sharing” including deductibles for hospital care and daily charges for long hos- pital stays. 03_6part.qxp 11/20/07 10:27 AM Page 191

HEALTH CARE: THE NATION’S GREATEST FISCAL CHALLENGE 191

Part B: Doctor Visits, Lab Fees, Medical Equipment Medicare Part B26 is an optional part of Medicare that covers visits to the doctor, laboratory services, outpatient hospital services, physical and other therapy, medical equipment, home health care not covered under Part A, ambulance services, and some preventive medicine. Par- ticipation rates in Part B are high: 95 %.27 Medicare Part B is financed by general revenues (Federal tax dollars) and monthly premiums paid by seniors who opt to participate. In 1997, Congress permanently set the Part B premium at 25% of program costs. Based on this require- ment, the 2007 monthly premium was $93.50 (low-income beneficiaries pay less).28 Part B requires some beneficiary “cost sharing,” including an annual deductible and 20% coinsur- ance29 of Medicare’s approved charges (although mental health coinsurance is 50%). Net FY 2007 Federal spending for Part B, after offsetting premiums are included, is $131 billion.

Part C: Medicare Advantage (Managed Care Alternative) People who are eligible for Medicare Part A and are enrolled in Part B have the option to receive all of their Medicare benefits through managed care plans such as health maintenance organizations (HMOs), preferred provider organizations (PPOs), and special needs plans (SNPs). The managed care alternatives are part of the “Medicare Advantage” (MA) program.30 Unlike traditional fee-for-service Medicare, in which medical providers are paid for each ser- vice, managed care providers in Medicare Advantage are paid a monthly per enrollee amount (known as a “capitation” payment) to provide benefits to enrollees. The total cost of MA in calendar year 2006 was $64 billion—funded about equally by Parts A and B. Although the objective of MA is to lower total Medicare costs through competition, payments to MA plans have been higher than costs per beneficiary in traditional fee-for-service Medicare—12% higher accord- ing to one study.31 As of January 2007, nearly 20% of all Medicare beneficiaries were enrolled in a Medicare Advantage plan.32

Part D: Prescription Drug Coverage Beginning in 2006, Medicare beneficiaries became eligible for optional prescription drug cov- erage—subsidized by Medicare—under which they are able to purchase drug coverage through PDPs (prescription drug plans) or Medicare Advantage prescription drug plans. Each plan, to qualify for Federal subsidies, must offer a minimum set of benefits. As reflected in table 3-6.2, by the end of 2006, 28 million—about two-thirds—of Medicare’s 43 million eli- gible beneficiaries had enrolled in Part D. The new program is financed primarily by general revenues (tax dollars), as well as transfers from states33 and modest monthly premiums paid by enrollees.34 Enrollees with incomes below 150% of the Federal poverty level35 receive assis- tance with their premiums and cost-sharing charges.36 However, the Centers for Medicare and Medicaid Services (CMS) estimated that as of January 2007, 3.3 million persons eligible for low-income subsidies had not enrolled.37

Issue: Rapidly Rising Costs Threaten Medicare Sustainability In general, most policymakers and interest groups involved in the Medicare debate agree on the following: 03_6part.qxp 11/20/07 10:27 AM Page 192

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TABLE 3-6.2 A Snapshot of Medicare Income and Expenditures (Calendar Year 2006) (billions of dollars) Hospital Supplementary Insurance Medical (HI) Insurance (SMI) Part A Part B Part D Total Total Income 212 177 48 437 Payroll Taxes 181 — — 181 Interest on Treasury Bonds 16 2 — 18 Taxation of Benefits 10 — — 10 Premiums 2.6 43 4 49 General Revenue 0.5 133 39 172 Transfers from States — — 6 6 Other 1 — — 1 Total Expenditures 192 169 47 408 Hospitals 121 27 — 148 Skilled Nursing Facilities 20 — — 20 Home Health Care 6 7 — 13 Physician Services — 58 — 58 Managed Care (Part C) 33 31.5 — 64 Prescription Drugs — — 47 47 Other 9 42 — 51 Administrative 3 3 0.3 6.3 Enrollment (millions) Aged 36 34 Disabled 7 6 Total 43 40 28 43

Source: 2007 Medicare Trustees Report, table II.B1.

1. Medicare’s projected growth rates are unsustainable. 2. The causes of Medicare’s projected fiscal crisis include: • rapidly rising health care costs, • the approaching baby boom retirement, • increasing longevity of Medicare beneficiaries, and • enactment of the new prescription drug benefit.

However, that’s where the agreement ends. There is no consensus on how to bring Medicare costs under control while sustaining quality coverage. Nevertheless, building a bipartisan consensus on Medicare cost control and sustainabil- ity is urgent and essential. The total Medicare population is projected to grow to 46 million in 2010, 61 million in 2020, and 77 million in 2030;42 and according to the 2007 Medicare Trustees report, total Medicare expenditures as a percentage of GDP are expected to increase dramatically from 3.2% in 2007, to 11.3% by 2081.43 In dollar terms, Medicare outlays are 03_6part.qxp 11/20/07 10:27 AM Page 193

HEALTH CARE: THE NATION’S GREATEST FISCAL CHALLENGE 193

THE INFAMOUS “DOUGHNUT HOLE” The new Medicare drug benefit has a gap in coverage (fashioned by the authors of the legislation to hold down the overall costs of the program). The gap is commonly called the “doughnut hole.” Here’s how it works: the standard Medicare drug plan38 will pay 75% of drug costs up to $2,400 (in 2007), after a $265 deductible for most seniors. But after enrollees reach $2,400 in total drug expenses, the standard drug benefit pays noth- ing until the beneficiary’s total drug expenses reach $5,450 (in 2007). Above that amount, the standard Medicare drug plan essentially provides catastrophic drug coverage, paying all costs except for 5% coinsurance. The important point here is that under the stan- dard drug plan, by the time a participant in the plan reaches $5,450 in total drug expenses, they will have paid out-of-pocket costs of $3,850—while the Medicare-approved drug plan will have covered only $1,600 in costs. Medicare-approved drug plans can, however, vary widely and some plans do in fact offer coverage of some prescriptions in the doughnut hole, although a recent Kaiser Foundation report found that most Part D plans have a coverage gap.39 In addition, in 2007, 13 states reportedly have no plans offering relief from the doughnut hole gap in coverage—an increase from 4 states in 2006.40 Moreover, plans that do offer doughnut hole coverage have substantially increased their premiums. When seniors with high drug costs find themselves in the doughnut hole coverage gap, they must still continue to pay monthly premiums to remain in the prescription drug program. The irony is that people normally expect insurance to protect them from high costs, but the standard Medicare drug plan actually phases out when costs get high (i.e., between $2,400 and $5,450 of total drug costs), which some might view as an upside- down “insurance policy.”Put another way: Under the standard plan, sicker patients with higher drug costs end up paying a higher share of their drug costs than those with fewer prescriptions.41

projected to nearly double over the next decade alone from $432 billion in FY 2007 to $853 billion by FY 2017 (see table 3-6.3).44 To put this in perspective, according to the Trustees, “the level of Medicare expenditures is expected to exceed that for Social Security in 2028 and, by 2081, to be 80 percent more than the cost of Social Security.”46

Issue: HI Trust Fund—2007 Spending Exceeds Revenues; Trust Fund Depleted by 2019 Medicare Part A, Hospital Insurance, is operated as a separate “trust fund,”financed primar- ily by payroll taxes. Beginning in 2007, the Medicare HI Trust Fund spent more than it took in from payroll taxes and other smaller sources of revenue. Treasury securities and interest earnings held by the HI Trust Fund will keep Medicare Part A afloat for a few years, but by 2019, the HI Trust Fund will be exhausted.47 In reality, the financial pressures have already begun, because the Treasury is borrowing funds to pay off the bonds and interest earnings held by the Trust Fund. 03_6part.qxp 11/20/07 10:27 AM Page 194

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TABLE 3-6.3 Medicare as a Percentage of Gross Domestic Product 1970 0.7 2030 6.5 1980 1.3 2040 8.0 1990 1.9 2050 9.0 2000 2.3 2060 9.9 2005 2.7 2070 10.7 2010 3.4 2080 11.3 2020 4.6

Source: 2007 Medicare Trustees Report: Intermediate Estimates.45

WHEN IS A “TRUST FUND” NOT A REAL TRUST FUND? Medicare Part B and Part D are often referred to as components of the Supplementary Medical Insurance (SMI) Trust Fund. However, since general revenues are automati- cally pumped into this “trust fund” to cover expenditures not paid for by premiums and copayments, it is not a trust fund in any meaningful sense. This stands in contrast to the HI Trust Fund, which is a bona fide trust fund, financed by a dedicated revenue source (payroll taxes and interest on Treasury securities).

Issue: The 45% “Medicare Funding Warning” The percentage of total Medicare outlays covered by payroll taxes, premiums and other dedi- cated funding sources is shrinking, and the amount of general revenues required to keep the pro- gram afloat is rapidly increasing. As a consequence of this trend, the 2003 Medicare prescription drug legislation48 (known as the Medicare Modernization Act, or MMA) required the Trustees of the Medicare Trust Funds to report each year on the amount of general revenues required to finance Medicare; and if the percentage of general revenues was to exceed 45% of total Medicare outlays for two consecutive years, the Trustees are directed by the MMA to issue a “Medicare funding warning.”The Trustees made such a finding in 2006 and 2007 and issued the finding in their April 2007 Annual Report. Under the MMA, the President is now required to submit to Congress, within 15 days after release of his FY 2009 Budget, proposed legislation to respond to the warning (with reforms that would eliminate the need to expend general revenues in excess of 45% of Medicare outlays). The House is then required to consider the legislation on an expe- dited basis, although there is no requirement that the Senate take up the legislation.49

Medicaid: Health Care for People at (or Near) Poverty

Estimated FY 2008 Federal Medicaid Spending: $209 billion50 7% of Federal Spending51

See www.GovBudget.com for updated numbers. 03_6part.qxp 11/20/07 10:27 AM Page 195

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In a Nutshell Medicaid is the nation’s health and long-term care program for over 55 million low-income Americans.52 Unlike Medicare, which is available without regard to income, Medicaid is designed primarily for people who have incomes at or below the Federal Poverty Level (FPL). To qualify, beneficiaries must also fall within one of the several dozen specific eligibility categories that divide into three general groups: families with children, elderly people, and people with men- tal or physical disabilities.53 Medicaid is jointly financed by the Federal and State governments, with the Federal government helping States pay for Medicaid services by means of a matching formula. The Federal payment is based on a State’s per capita income, with the poorest States receiving Federal payments up to 76%. While the Federal government usually pays more than half the cost of Medicaid services, the program itself is administered by the States—subject to minimum Federal requirements on basic benefits that must be provided.

Background Medicare and Medicaid are often confused. Although they were both created in the same 1965 legislation,54 they are very different programs, as reflected in table 3-6.4.

TABLE 3-6.4 Medicare versus Medicaid MEDICARE MEDICAID Type of Entitlement Medicare is an entitlement Medicaid is a means-tested based on age (65 or older) entitlement where eligibility is or disability without regard based on being at or near the to income. Federal poverty level, as well as satisfying other eligibility criteria such as age, family structure, and health status.

Type of Program Medicare is a health Medicaid is a health coverage insurance program, similar program; it is not a typical health to private sector health insurance plan or a health care insurance plans, with delivery system. specified coverage and beneficiary cost sharing States pay health care providers (premiums, deductibles, for services on behalf of Medicaid coinsurance). beneficiaries.

Medicare is not a health For children and families, services care delivery system. are often delivered through Medicare reimburses managed care, while the elderly providers in the health care and disabled typically receive care sector (according to on a fee-for-service basis. complicated provider

(Continued) 03_6part.qxp 11/20/07 10:27 AM Page 196

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TABLE 3-6.4 Medicare versus Medicaid (Continued) MEDICARE MEDICAID payment rules) for Until recently, Federal law strictly providing services to limited the ability of States to Medicare enrollees. impose premiums, cost-sharing and other insurance-like mechanisms. But the 2005 Deficit Reduction Act allows cost-sharing options.55 What Services are Part A covers hospital Medicaid pays for a broad range of Covered? services, posthospital services with an emphasis on: services, and hospice care; —comprehensive care for children, Part B provides optional coverage for physician — mental health services, and services, outpatient hospital care, home health care, and —long-term care for the elderly medical equipment; and disabled (Medicaid covers 60% of nursing home residents in Part C provides managed the U.S.56). care options for beneficiaries enrolled in Parts A and B; and Medicaid also assists over 7 million low-income Medicare enrollees Part D Prescription Drug (called “dual eligibles”) by paying Coverage, provides optional Medicare’s premiums, deductibles, prescription drug coverage and coinsurance. for the elderly and disabled.

Flexibility Medicare has a highly Medicaid sets forth basic Federal structured payment system requirements, but States have to reimburse hospitals, significant flexibility in program physicians, skilled nursing design, optional benefits, and facilities, home health care provider payments. In addition, agencies, and other providers. many States receive Federal waivers that permit additional flexibility in how Medicaid funds are used.

How Many People 44 million people (37 million 55 million low-income Americans Are Covered? seniors and 7 million disabled)

Financing Funded by Federal payroll Jointly funded by the Federal and taxes, general tax revenues, State governments out of general and premiums tax revenues, with the Federal government matching Medicaid spending at least dollar for dollar. 03_6part.qxp 11/20/07 10:27 AM Page 197

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TABLE 3-6.4 Medicare versus Medicaid (Continued) MEDICARE MEDICAID However, in most States, the Federal government covers more than 50% of Medicaid percentages, reaching 76% in the poorest states. The percentage Federal contribution is known as FMAP (the Federal Medical Assistance Percentage). Administration Administered by CMS Administered by the States,subject (Centers for Medicare and to Federal minimum requirements. Medicaid Services, located within HHS)

Cost Growth57 Medicare annual cost growth Federal Medicaid payments to is projected to average 7.4% States are projected to grow, on from 2008 to 2017 average, 7.8% per year from 2008 to 2017.

The “Swiss Cheese” of Medicaid Eligibility While Medicaid is intended to assist low-income Americans, not all of the poor are eligible,as reflected in figure 3-6.1. Less than half (43%) of the poorest nonelderly Americans are cov- ered by Medicaid.58 Since Medicaid’s establishment in 1965, eligibility rules have reached a level of mind- numbing complexity in which there are now more than 50 distinct population groups poten-

FIGURE 3-6.1 Health Insurance Coverage of the Nonelderly by Federal Poverty Level (FPL) 2005

%001

%02 %03 %57

%17 %34 %08 O/reyolpmE reht etavirP %05 %62 rehtO/diacideM cilbuP derusninU

%52 %11 %73 %03 %81 %4 %7 %0 %001< %991-001 %992-002 +%003 LPF LPF LPF LPF 03_6part.qxp 11/20/07 10:27 AM Page 198

198 AMERICA’S PRIORITIES

tially eligible for Medicaid.59 As summarized in table 3-6.5, States are required to cover cer- tain “mandatory” eligibility groups and have discretion to cover certain “optional” eligibility groups. Why so much complexity? Medicaid began as a limited health care program for people receiving cash assistance under the Aid to Families with Dependent Children (AFDC) pro- gram—the old “welfare” program. In the 1980s, Congress expanded Medicaid six times— transforming it into a program that provides broad health services for three groups of low-income Americans: children and parents (including pregnant women), the elderly, and people with mental or physical disabilities. In general, the populations eligible for AFDC were entitled to mandatory coverage, and States were given discretion to provide coverage (and receive Federal reimbursements) for optional population categories. But, like Swiss cheese, Medicaid has significant holes in coverage—the most notable being that childless adults without a qualifying disability are not eligible for Medicaid no matter how poor they are.

Mandatory and Optional Medicaid Benefits61 The medical services covered by Medicaid are as complex as the eligibility rules. Certain benefits are mandatory and others are optional, resulting in different types of coverage in different states. Benefits that are mandatory for most Medicaid eligibility categories include inpatient and outpatient hospital services, physician services, pregnancy-related services, nursing facility services, and home health care. Optional benefits offered by many states include inpatient psy- chiatric care for the elderly and individuals under 21; psychological, dental, optometry, and podiatry services; and transportation. In addition, certain special benefits are mandatory for specific populations. For example, Medicaid eligible children are entitled to special services known as Early and Periodic Screen- ing, Diagnostic and Treatment (EPSDT)—which is one of the key Medicaid benefits for chil- dren.62 Also, Medicaid pays Medicare premiums, deductibles, and coinsurance for individuals whose income is at or below 100% of the FPL.63

FMAP: The Federal Medical Assistance Percentages Medicaid is jointly financed by the Federal and State governments, with the Federal govern- ment helping States pay for Medicaid services by means of a matching formula. The reim- bursement rate for each State depends on the states’ respective per capita personal income levels, with the poorer states receiving higher reimbursements. Federal Medicaid reimburse- ments range from a low of 50% for New York State to 76% in Mississippi (as of FY 2006). States receiving the minimum dollar-for-dollar match are said to have a “50% FMAP,”or Fed- eral Medical Assistance Percentage.64

State Flexibility: Medicaid Section 1115 Waivers Federal law gives the Secretary of Health and Human Services broad authority to grant “waivers” of standard Medicaid requirements to enable states to use their Federal Medicaid 03_6part.qxp 11/20/07 10:27 AM Page 199

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TABLE 3-6.5 Medicaid Eligibility Categories60 MANDATORY COVERAGE FOR: OPTIONAL COVERAGE FOR: Note: “FPL” is the acronym for “Federal Poverty Level.”See Appendix Q. FAMILIES WITH CHILDREN FAMILIES WITH CHILDREN • Pregnant women and young children • Pregnant women and infants at 133%-185% at or below 133% of the FPL of FPL • Children ages (6 through 18) in poor • Children who are in State-sponsored foster care, families up to 100% of FPL institutionalized, or inpatients in psychiatric • Recipients of adoption assistance facilities and foster care (under age 18)

ELDERLY ELDERLY • Supplemental Security Income (SSI) • Aged with incomes 75%–100% FPL recipients (i.e., people who are aged, • Recipients of State supplemental payments to below 75% of FPL) Federal SSI • Nursing home residents above SSI levels, but below 300% of SSI

PEOPLE WITH DISABILITIES PEOPLE WITH DISABILITIES • Supplemental Security Income (SSI) • Disabled individuals with incomes above SSI recipients (i.e., people who are but below 100% FPL blind or disabled below 75% of FPL) • Recipients of State supplemental payments to • Certain working disabled Federal SSI • Working individuals with disabilities between ages 16 and 64 who were previously eligible for SSI or would be severely impaired without Medicaid coverage

OTHERS OTHERS • Legal immigrants only if they are • “Medically needy” individuals up to 133 1/3% refugees, asylees, or military veterans. of FPL Otherwise, legal immigrants can receive • Uninsured women under 65 with breast or only emergency services during their cervical cancer first five years. • Uninsured persons with tuberculosis • States may opt to cover legal immigrants after their first five years in the U.S. 03_6part.qxp 11/20/07 10:27 AM Page 200

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dollars in a manner that controls costs and/or expands coverage—so long as the waiver pro- jects are “budget neutral.”65 This “1115 waiver authority” (so-called because the authority is provided in section 1115 of the Social Security Act) can be used, for example, to impose new cost sharing to reduce government outlays, provide services to individuals not otherwise eli- gible for services, or temporarily expand Medicaid coverage as was done in New York City after 9/11 and in the Gulf Coast states after Hurricanes Katrina and Rita.66 Nearly half the states have sought waivers to try various approaches to controlling costs and boosting cover- age.67 However, significant concerns have been mounting about the impact of waivers on access to Medicaid services.

Medicaid Is the Largest Source of Long-Term Care Coverage in the United States Medicaid pays an enormous share of the nation’s nursing home and other long-term care expenses, covering nearly half of all long-term care expenditures and paying for 60% of the nation’s nursing home residents. Increasingly, Medicaid is also covering intermediate care facilities (e.g., services for individuals with mental retardation) as well as home- and com- munity-based long-term care services, such as adult day care.68 In addition to covering elderly persons in need of long-term care, Medicaid pays for long-term services for people with dis- abilities and chronic illnesses.69

Medicaid and Children Medicaid is the largest source of health coverage for children in the United States, covering 28 million as of 2005, equal to one in every four. By contrast, the State Children’s Health Insur- ance Program (SCHIP), discussed later, covers about six million low-income children.70 Med- icaid therefore covers nearly five times more children than SCHIP.

Medicaid Is Not Universal Coverage for Low-Income Americans All poor children (at or below the Federal poverty level) are eligible for Medicaid, but many of their parents are not. In 14 states, working parents with incomes as low as to half the FPL do not qualify for Medicaid. Moreover, childless adults do not qualify for Medicaid.71

Issue: Escalating Medicaid Costs Reflect Growing Poverty and Rising Health Care Costs Medicaid Expenditures.—The costs of Medicaid, both at the Federal level and the State level, are exploding. Medicaid spending has grown by more than 49% since 2000, exceeding growth in gen- eral inflation and medical inflation, and exceeding the rates of growth in spending for both Medicare and Social Security.73 Looking ahead, Federal outlays for Medicaid are projected to more than double over the next decade—growing from $193 billion in FY 2007 to $410 billion by 2017.74 These rapidly rising costs reflect (1) significant growth in program enrollment due to increasing poverty and a reduction in employer-sponsored health coverage and (2) rising 03_6part.qxp 11/20/07 10:27 AM Page 201

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Myth: Hospitals that accept large caseloads of low-income and uninsured patients bear the entire cost of providing these services.

Fact: Hospitals with large caseloads of low-income and uninsured patients get special Federal and State assistance through Medicaid called Disproportionate Share Hospital (DSH) payments. Under this provision, hospitals treating large numbers of low-income and Medicaid patients receive upward adjustments to their Medicaid payments (known as “DSH adjustments”). In FY 2004, Federal Medicaid DSH allotments ranged from $100,000 in Wyoming to $1.5 billion in New York State.72 The Medicare program also makes DSH payments to hospitals serving large caseloads of low-income patients, but based on a different formula.

health care costs.75 In addition, escalating costs will be increasingly exacerbated by demo- graphics, as baby boomers become eligible for Medicaid long-term care services.76 Importantly, program inefficiency is not regarded as a cause of escalating costs. Accord- ing to CRS, Medicaid is viewed as a cost-efficient program. “The percentages of the program’s spending on administrative costs (3 to 4%) are small compared to the administrative costs of private health insurance plans (often in excess of 20%).”78 Enrollment Growth.—For the five-year period from 1998 to 2003, total enrollment in Medicaid increased by 30% and Medicaid enrollment is projected to increase from 54 million enrollees in 2003 to 65 million in 2015—a 21% increase.79 Poverty.—Thirty-seven million Americans lived below the poverty line in 2004. Accord- ing to sociologist Mark Rank of Washington University in St. Louis, “There’s strong evidence that over the past five years, record numbers of lower-income Americans find themselves in a more precarious economic position than at any time in recent memory.” 80 This is reflected in the startling fact that Medicaid is now the primary insurer for almost 40% of all births.81 Rising Health Care Costs.—The Agency for Health Care Research and Quality at the Department of HHS recently reported that “Medicaid spending on outpatient drugs more than doubled in recent years,” reflecting “a rise in both the number of prescriptions written for Medicaid enrollees . . . and the rapid uptake of newer classes of drugs.”82

Public Support of Teaching Hospitals

Estimated FY 2007 Spending on Graduate Medical Education: $11.7 billion (Funded through Medicare, Medicaid, and HRSA)

In a Nutshell Academic medical centers, often called “teaching hospitals,” are hospitals associated with nearby medical schools. Teaching hospitals play a vital role in training doctors, providing highly specialized medical care, and care for the uninsured. The United States has more than 03_6part.qxp 11/20/07 10:27 AM Page 202

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1,100 teaching hospitals that train nearly 100,000 physicians annually.83 The Federal govern- ment provides substantial public support of teaching hospitals through Medicare and, in lesser amounts, through Medicaid and grants from the Health Resources and Services Administra- tion (HRSA).

Background The U.S. health care system relies heavily on “teaching hospitals” for three vital functions. First, teaching hospitals are the focal points for clinical training of medical students and hospital residents. During the last year of medical school, students apply for postgraduate “residencies.” Residency programs range from three years for primary care training (such as internal medicine or pediatrics) to five or more years for subspecialties (such as surgery, car- diology, or gastroenterology). Training of postgraduate residents is known as graduate med- ical education, or “GME.” Second, teaching hospitals are centers for highly specialized medical care. Many of the med- ical advances initiated in the research laboratories of medical schools are incorporated into around-the-clock patient care at teaching hospitals. Teaching hospitals care for some of the nation’s sickest patients and, together with NIH, are the engines of medical innovation. Third, many teaching hospitals provide vital medical services to uninsured and underserved populations in our nation.84 The Federal government is the largest single financing source for graduate medical edu- cation, primarily through Medicare. The rationale for these special Medicare payments is that teaching hospitals incur higher costs—relative to other hospitals—for the treatment of Medicare patients.85 One type of support adjusts Medicare payments to teaching hospitals to cover the direct costs of graduate medical education (DGME), such as resident and faculty salaries (estimated at $2.4 billion in FY 2007).86 A second type of support—known as Indirect Medical Education (IME) payments—adjusts individual Medicare payments upward to compensate hospitals for the added demands placed on staff as a result of teaching activities, the greater number of tests and procedures ordered by residents, the presence of on-site clinical research and advanced technology, and treating patients with more complex conditions87 (estimated at $5.8 billion in FY 2007).88 A third type of Federal support for teaching hospitals relates to Medicare’s capital pay- ments to hospitals.89 Teaching hospitals receive a larger capital payment per patient than non- teaching hospitals. In short, “if two otherwise identical hospitals each admit a Medicare beneficiary for the same diagnosis, the teaching hospital will receive a higher payment than the nonteaching hos- pital. And the percentage add-on increases as the teaching hospital’s ratio of residents to beds grows.”90 In addition to support by the Medicare program, teaching hospitals also receive GME support through Medicaid and a pediatric GME program. Many States currently boost Medicaid inpatient reimbursement rates for teaching hos- pitals in order to cover DGME costs; triggering a higher Medicaid reimbursement (estimated at $3.2 billion in FY 2007).91 However, the Administration—in a cost-cutting effort—is seek- ing to eliminate Medicaid funding for DGME, asserting that “GME is outside of Medicaid’s 03_6part.qxp 11/20/07 10:27 AM Page 203

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primary purpose, which is to provide medical care to low-income individuals.”92 As of sum- mer 2007, the Congress had blocked Administration efforts to end Medicaid GME payments. Pediatric GME—funded by HRSA93—is the Children’s Hospitals Graduate Medical Edu- cation Payment Program. The program provides both DGME and IME payments to children’s hospitals and was funded at nearly $300 million in FY 2006.94 The late Senator Daniel Patrick Moynihan—renowned for many years as the Senate’s lead- ing supporter of teaching hospitals—advocated improving the system of public support for teaching hospitals by creating a trust fund that would be financed by existing DGME and IME payments, plus a new assessment on all health insurance premiums. Senator Moynihan felt that teaching hospitals are a “public good” and deserve solid and dependable public funding.95 This “all-payer” proposal passed the Senate Finance Committee in 1994 as part of its compre- hensive health care reform bill, but the overall legislation stalled on the Senate Floor. The all- payer concept has been reintroduced in subsequent Congresses, but without successful action.96 The general issue of public support for teaching hospitals will come to the fore as the baby-boom generation begins to retire. The Association of American Medical Colleges esti- mates that enrollment in medical schools should be increased by 30% by 2015 in order to handle the rapidly growing number of aging boomers.97

SCHIP: Health Coverage for Low-Income Children

FY 2007 Federal SCHIP Spending: $5.4 billion98 0.2% of Federal Spending

See www.GovBudget.com for updated numbers.

In a Nutshell The State Children’s Health Insurance Program is a Federal grant program, operated by CMS,99 that allots about $5 billion per year among the States, based on their number of low-income, uninsured children. The objective of the program, established in 1997, is to expand health coverage for children in families whose incomes are low but somewhat higher than Medicaid’s tight income eligibility limits.100 Medicaid covers about 28 million children; SCHIP covers about 6 million children during the course of a year.101 with another 9 mil- lion remaining uninsured. Similar to Medicaid, SCHIP programs are administered by the States.

Background At the time of its enactment in 1997, the Congress appropriated $40 billion for a 10-year period. Generally, SCHIP covers children in families up to 200% of the FPL, though some states select upper eligibility limits above or below 200%.102 The program operates like Med- icaid, with joint Federal-State funding and State administration of the program. However, the Federal reimbursement rate for SCHIP is somewhat higher than in the Medicaid program, ranging from 65% to 83% (compared with Medicaid’s 50%–76%).103 03_6part.qxp 11/20/07 10:27 AM Page 204

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SCHIP is not an individual entitlement like Medicaid.104 Rather, it is a capped entitlement to States, under which States each year receive a certain percentage (allotment) of available SCHIP funds. The amount of funds available for fiscal years 1998 through 2007 was estab- lished by authorizing legislation when SCHIP was enacted into law in 1997 (with some addi- tional funds appropriated for FY 2007 to cover shortfalls).105 According to the Kaiser Commission on Medicaid and the Uninsured, “over the last decade the percentage of low-income children without health insurance has fallen by over one-third” due to the establishment of SCHIP, as well as expansions in Medicaid coverage.106 (The creation of SCHIP has had the spillover effect of causing many low-income families to inquire about health coverage for their children, with the result that many children have been located who were already eligible for Medicaid.) States are permitted to use SCHIP funds in one of three ways: (1) they can enroll SCHIP chil- dren in Medicaid, (2) they can create a separate children’s health program within Federal guide- lines, or (3) they can devise a combination of the two approaches. If a State chooses the Medicaid option, the State may not turn away applicants who qualify for eligibility—even after the SCHIP funds run out. The Medicaid option, therefore, effectively expands the Medicaid entitlement. As of February 2007, 10 States and D.C. used the Medicaid option, 18 established sepa- rate State programs, and the remaining 22 used a combination of the two.107 States selecting the Medicaid option must provide all mandatory and optional services covered under the State plan. States may also obtain additional flexibility in how they use SCHIP funds by seek- ing a section 1115 waiver, similar to the Medicaid waiver process. Some States have obtained waivers to use SCHIP funds to also provide coverage to parents or caretaker relatives of eligi- ble children.108

Issue: Expand SCHIP? The legislation authorizing the SCHIP program expired at the end of FY 2007. Although there is general agreement that SCHIP should be continued beyond its expiration date of Septem- ber 30, 2007, as this book goes to print Congress and the President are locked in a debate over whether to expand the SCHIP program. Many in Congress want to add funds over the next five years to expand the program to cover more eligible children who have not yet enrolled (as well as to cover increased health care costs for children already covered).

Recommended Sources for More Information on SCHIP

• CBO: “The State Children’s Health Insurance Program,”May 2007. • GAO: Testimony before the House Subcommittee on Health, GAO-07-558T, March 1, 2007. • National Conference of State Legislatures: www.ncsl.org/programs/health/sncslweb.htm. • National Academy for State Health Policy, “Perspectives on Reauthorization—SCHIP Directors Weigh In”: http://www.nashp.org/Files/CHIP25_final.pdf. • Kaiser Commission on Medicaid and the Uninsured: “Outreach Strategies for Medicaid and SCHIP,” April 2006; “Opening Doorways to Health Care for Children,”April 2006. • Alliance for Health Reform: “SCHIP and Medicaid Enrollment: What’s Next?” http://www.allhealth .org/issue_briefs_SCHIP.asp. • American Public Health Association: “SCHIP and Its Meaning for Public Health” http://www.apha .org/ppp/schip/SCHIP.pdf. 03_6part.qxp 11/20/07 10:27 AM Page 205

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• CRS: “SCHIP: A Brief Overview,”RL30473, January 30, 2007; “SCHIP Financing,”RL32807, January 30, 2007; “SCHIP Original Allotments: Description and Analysis,”RL33366, March 12, 2007.

U.S. Public Health Service (PHS) Agencies: Preventing and Treating Disease and Injury

Despite leading the world in health expenditures, the U.S. is not fully meeting its potential in health status and lags behind many of its peers.—Institute of Medicine, National Acad- emy of Sciences109

In a Nutshell The mission of “public health” is to promote health and prevent disease, injury, and disabil- ity. Within the Department of Health and Human Services, agencies authorized by the Pub- lic Health Service Act are collectively referred to as the U.S. Public Health Service (PHS). As illustrated in figure 3-6.2, PHS agencies include (alphabetically) the Agency for Healthcare Research and Quality (AHRQ), the Agency for Toxic Substances and Disease Registry (ATSDR), the Centers for Disease Control and Prevention (CDC), the Food and Drug Admin- istration (FDA), the Health Resources and Services Administration (HRSA), the Indian Health Service (IHS), the National Institutes of Health (NIH), and the Substance Abuse and Mental Health Services Administration (SAMHSA).

The Surgeon General and the Public Health Service Commissioned Corps (USPHSCC)

FY 2007 Spending for USPHSCC: $370 million

In a Nutshell The U.S. Public Health Service Commissioned Corps consists of more than 6,000 public health professionals assigned to a variety of public health and disease prevention programs. USPH- SCC is one of the seven uniformed services in the United States—the other six being the Army, Navy, Marines, Air Force, Coast Guard, and the National Oceanic and Atmospheric Admin- istration (NOAA). The $370 million figure cited here reflects military retirement and med- ical benefits for USPHSCC commissioned officers. Generally, the agencies to which the officers are assigned pay the officers’ salaries.

Background In addition to the more than 50,000 civil servants working for PHS agencies, the PHS also has a military-style Commissioned Corps consisting of more than 6,000 officers. The idea of initiating a mobile, military-style component of the PHS (originally the Marine Hospital Service) was conceived by the first “Supervising Surgeon” John Maynard Woodworth in 1871, and it was formalized by legislation enacted in 1889. The Supervising 03_6part.qxp 11/20/0710:27AMPage206

FIGURE 3-6.2 Organization of Health Programs at the Department of Health and Human Services

,yraterceS fo tnemtrapeD fo & htlaeH & namuH secivreS

tnatsissA .tssA yraterceS rof yraterceS cilbuP htlaeH rof ycnegremE htlaeH ssenderaperP

lareneG noegruS lareneG lacidemoiB htlaeH cilbuP & cilbuP htlaeH decnavdA hcraeseR ecivreS dna tnempoleveD denoissimmoC ytirohtuA roC p *s ( ADRAB )

rof sretneC rof ycnegA rof ecnatsbuS esubA & htlaeH secruoseR lanoitaN naidnI dooF dna gurD sretneC rof dna eracideM dna erachtlaeH latneM htlaeH dna ecivreS setutitsnI fo htlaeH noitartsinimdA esaesiD lortnoC secivreS diacideM secivreS hcraeseR dna secivreS noitartsinimdA htlaeH ecivreS )ADF( dna noitneverP )SMC( ytilauQ noitartsinimdA )ASRH( )HIN( )SHI( )CDC( ( RHA )Q ( AHSMAS )

htlaeH ytinummoC htlaeH ycnegA rof cixoT :sretneC lanretaM dna dlihC nayR etihW lanoitaN htlaeH gniniarT etaudarG secnatsbuS dna deifilauQ yllaredeF deifilauQ htlaeH SDIA/VIH( ecivreS sproC stnarG lacideM acudE noit esaesiD yrtsigeR dna sretneC htlaeH sretneC dna )smargorP )cirtaideP( )RDSTA( htlaeH laruR htlaeH

Note: All of the above agencies (except for CMS) are authorized by the Public Health Service Act and are collectively referred to as the U.S. Public Health Service. 03_6part.qxp 11/20/07 10:27 AM Page 207

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Surgeon ultimately became today’s Surgeon General—often a visible public figure, as in the case of C. Everett Koop in the 1980s. At first, the USPHSCC was open only to physicians but expanded to include dentists, pharmacists, nurses, and other health professionals.110 The duties of the USPHSCC mirror those of the Public Health Service: (1) providing health care and related services to medically underserved populations; (2) preventing and con- trolling disease; (3) improving the nation’s mental health; (4) working to ensure that food, drugs, and medical devices are safe; (5) conducting and supporting biomedical, behavioral, and health services research and communicating research results to health professionals and the public; and (6) working with other nations and international agencies on global health problems and their solutions. In addition, the USPHSCC provides physicians to the U.S. Coast Guard.

Issue: Are the Added Costs of Maintaining the USPHSCC Justified? In a 1996 report, the GAO found that the functions performed by the USPHSCC “are essentially civilian in nature [and] some PHS employees carry out the same functions as Corps members.” The report also noted that “the PHS Corps does not meet the criteria and principles cited in a DOD report as a justification for the military compensation sys- tem.” The report concluded that personnel costs at that time could be reduced by 22% per year if civilian employees were used for the functions carried out by Corps mem- bers.111 One could conclude from these findings either that the extra expenses of maintaining the Corps are not justified or that the Corps is not being well utilized. The latter is a more com- pelling conclusion, particularly given the threats of terrorism and weapons of mass destruc- tion facing our nation and the incompetent response to Hurricanes Katrina and Rita (discussed in the homeland security chapter). A military-style medical corps makes great sense, but it needs to operate in a military manner with rapid deployment capabilities, con- tinuous training, and a high state of readiness.

Agency for Healthcare Research and Quality (AHRQ)

FY 2007 AHRQ Spending: $319 million112

In a Nutshell The Agency for Healthcare Research and Quality (AHRQ), one of the eight Public Health Ser- vice agencies, is the lead Federal agency supporting research aimed at improving the quality of health care and the efficiency of its delivery. Specifically, the agency funds and conducts research on patient safety, health information technology, and comparative effectiveness of medical treatments. 03_6part.qxp 11/20/07 10:27 AM Page 208

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Centers for Disease Control and Prevention (CDC) and ATSDR

FY 2007 CDC Spending: $6 billion FY 2007 ATSDR Spending: $75 million

See www.GovBudget.com for updated numbers.

In a Nutshell The -based CDC is the nation’s lead public health agency, responsible for coordinat- ing infectious disease prevention and response efforts with State, local, and international public health agencies. In addition to emergency response, CDC supports public health activities including preparedness for bioterrorism and pandemics, immunization programs, HIV pre- vention, chronic disease prevention and health promotion, reducing the occurrence of birth defects and developmental disabilities, and occupational safety and health. About three-quar- ters of the agency’s budget is disbursed as grants. CDC’s sister agency, the Agency for Toxic Substances and Disease Registry (ATSDR), examines the specific health effects of hazardous waste sites and unplanned releases of toxins.113

Background The CDC was originally created in 1946 to focus on communicable diseases, such as malaria and typhus. (The acronym CDC at that time stood for Communicable Disease Center.) Since then, the CDC has grown into a major agency with a broad portfolio of public health responsibilities. CDC’s workforce includes personnel in the U.S. Public Health Service Commissioned Corps (discussed earlier), although most of CDC’s staff are permanent civil service employ- ees. Examples of specific CDC programs include the following:

• CDC administers the Vaccines for Children (VCF) program that provides vaccines free of charge to children who are Medicaid recipients, uninsured, underinsured, or Native Americans. More than $2 billion of CDC’s budget is allocated for VCF. • The National Breast and Cervical Cancer Early Detection Program has provided more than six million screening tests since 1991. • CDC collected data which defined the problem of inadequate folic acid as a cause of spina bifida, resulting in policies that have reduced the rates of that birth defect. • CDC research led to a regimen that has virtually eliminated perinatal AIDS transmission.114 • The CDC’s website on developmental delays—which impact nearly one-fifth of U.S. chil- dren—was accessed by more than 120,000 visitors in 2005, of particular importance because early recognition and treatment of developmental delays can significantly improve the chances of healthy development. • CDC’s efforts helped eliminate the rubella virus in the United States. • CDC’s National Institute for Occupational Health and Safety (NIOSH) in 2005 certified the first respirators with chemical and biological protection for first responders. 03_6part.qxp 11/20/07 10:27 AM Page 209

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• In the wake of Hurricane Katrina, CDC developed species-specific antibodies to a fun- gus linked to serious health problems. • Epidemic Intelligence Service officers respond to health outbreaks across the country and globally. • In the area of preparedness, the CDC has set up labs in all 50 states to test for anthrax, smallpox, and other possible bioterrorism agents. • The CDC is the lead agency in preparing for the avian flu.115

Food, Drug, and Consumer Product Safety: FDA, FSIS, and CPSC

FY 2007 Total FDA Spending: $1.6 billion USDA Food Safety and Inspection Service: $887 million Consumer Product Safety Commission: $62 million

See www.GovBudget.com for updated numbers.

In a Nutshell The Food and Drug Administration (FDA), located within the Public Health Service at HHS, oversees the safety of the food supply (except for meat and poultry) and all human drugs, bio- logics (blood, tissue, etc.), medical devices, and equipment that emits radiation (such as MRI machines and microwave ovens). The Food Safety and Inspection Service (FSIS), located in the Department of Agriculture, regulates and inspects meat, poultry, and processed egg prod- ucts. The Consumer Product Safety Commission (CPSC) is a small independent Federal agency charged with protecting the public against risks of injury or death from more than 15,000 types of consumer products.

Background The FDA, the oldest U.S. consumer protection office, dates back to 1906, when President Teddy Roosevelt signed the Food and Drug Act and assigned implementation to the Bureau of Chemistry at the U.S. Department of Agriculture. The Bureau eventually became the FDA, an agency located in the Department of Health and Human Services. Today, the FDA has responsibility for the safety of the national food supply—except for meat, poultry, and egg products, which are regulated by the Agriculture Department—as well as all human drugs, biologics, medical devices, equipment that emits radiation (such as MRI machines, lasers and microwave ovens), and animal drugs and food.117 It is estimated that the FDA regulates about 25 cents of every consumer dollar spent.118 Food Inspection by the FDA.—Food-borne diseases are estimated to cause approximately 76 million illnesses, 325,000 hospitalizations, and 5,000 deaths every year in the United States.119 The FDA’s mission is to minimize illnesses and death from food-borne illnesses by ensuring that food is free of contaminants, approving new additives before they can be used, ensuring that drugs given to animals raised to be used for human food do not cause health 03_6part.qxp 11/20/07 10:27 AM Page 210

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problems, monitoring the safety of dietary supplements and the contents of infant formulas, and regulating food and nutrition labeling. The FDA’s food inspection resources are very limited considering their responsibilities. The FDA has about 2,800 personnel devoted to food inspection. This translates into unan- nounced FDA compliance inspections “roughly once every five years.” State agencies handle the bulk of food safety inspections.121 U.S. Department of Agriculture (USDA) and Food Safety.—The Food Safety and Inspec- tion Service at USDA regulates meat, poultry, and processed egg products. FSIS resources are substantially greater than FDA’s. FSIS has about 8,000 inspectors and Federal law requires that an inspector be present for at least part of every shift while a firm is processing meat prod- ucts for human consumption.128 Former Agriculture Secretary Dan Glickman has observed that while meat and poultry are generally well regulated due to the USDA’s commitment of resources, other food products are not well regulated due to insufficient inspection resources at the FDA.129 Other Federal Agencies with Food Safety Responsibilities.—The National Marine Fisheries Service at the Department of Commerce is responsible for assuring the safety of commercial fisheries products. CDC tracks food-borne illness incidents and outbreaks. NIH is responsi- ble for research on the health effects of food-borne illness and efficacy of possible treatments. The Environmental Protection Agency (EPA) is responsible for regulating the amount of residues from pesticides and other chemicals that can be found in or on food.130 State and Local Agencies.—Eighty-five State and 3,000 local regulatory and licensing agen- cies play a major role in licensing and inspecting retail food establishments. Forty-four States have adopted State laws and regulations based on an FDA guidance manual called the Food Code—designed to ensure that food is not a vehicle for communicable disease.131 Medicines, Biologics, and Medical Devices.—The FDA must preapprove all new medi- cines, biologics (vaccines, blood products, tissues for transplantation, biotechnology prod- ucts and gene therapy), and medical devices for safety and effectiveness before they can be marketed. In the early 1990s, the FDA levied fees on pharmaceutical manufacturers to beef up its resources and speed up the approval process.122 There is continuing controversy, however, about the backlog of applications for approval of low-cost generics. As of 2006, the FDA had a backlog of more than 800 applications to bring new generic products to the market.123 From a budget perspective, adding millions to speed up the approval of generics could save hundreds of millions, or more, in Medicare and Medic- aid prescription drug costs. The FDA also has responsibility for the safety of drugs already on the market, although in March 2006, in a highly critical report, GAO concluded “FDA lacks clear and effective processes for making decisions about ...postmarket safety issues.” The GAO recommended that “Congress consider expanding FDA’s authority to require drug sponsors to conduct post- market studies [and] that FDA systematically track postmarket drug safety issues.”124 Experts explain that preapproval “clinical trials are not designed to detect events that occur in as few as one in 1000 patients. Many risks and adverse effects cannot be observed until after a treat- ment has been approved and used by a large and diverse population. That is why post- approval monitoring is key to protecting patient health.”125 FDA also regulates labeling of drugs and medical devices. The FDA recently announced changes in prescription drug labeling that aim to reduce the appalling level of medical errors 03_6part.qxp 11/20/07 10:27 AM Page 211

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Low resolution graphic

“We’ve come a long way from the time when the safety of food additives was determined by feeding them to a ‘Poison Squad’ of Federal employees.” 120 Photograph: The Dining Room of the “Poison Squad.” Source: www.FDA.gov.

in the United States—errors that kill an estimated 100,000 people and injure 300,000 in hos- pitals every year. The dispensing of inappropriate medications is viewed as a major cause of the staggering error rate.126 FDA has also recently moved forward with an initiative requiring drug companies to elec- tronically tag all pharmaceuticals in order to track them from the manufacturing plant to the pharmacy in order to counter the growing problem of counterfeit prescription drugs slipping into the United States from abroad.127 Consumer Product Safety Commission.—One of the first items we learn in law school about personal injury (tort) law is that until modern times, the old British common law prin- ciple of caveat emptor, “let the buyer beware,” prevailed in U.S. courts. Fortunately, this is no longer the case. States have adopted commercial codes that imply warranties that merchan- dise is of “merchantable” quality and fit for its intended purpose, and various levels govern- ment have established consumer protection agencies. The Consumer Product Safety Commission (CPSC), an independent Federal agency led by three commissioners appointed by the President, was established in 1972 to protect the public against unreasonable risks of injury or death from more than 15,000 types of consumer products (not including cars, boats, motorcycles, alcohol, tobacco, firearms, food, drugs, cos- metics, pesticides, and medical devices).132 According to the Commission, over 25,000 deaths and 33 million injuries each year are asso- ciated with consumer products under CPSC’s jurisdiction. In order to protect the public from hazardous products, the CPSC has authority to (1) encourage manufacturers to adopt volun- tary standards and impose mandatory standards where voluntary standards are inadequate 03_6part.qxp 11/20/07 10:27 AM Page 212

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(although mandatory standards are rarely imposed), (2) ban products that can not be made safe, (3) recall hazardous products already on the market, (4) impose fines on company’s fail- ing to report product defects having the potential to injure or kill consumers, (5) maintain a clearinghouse of information on product-related injuries, and (6) conduct research on prod- uct hazards. CPSC, in national budgetary terms, has a very small budget that—in inflation-adjusted terms—has decreased significantly. According to the CPSC’s website, “we may or may not investigate your product complaint. We receive about 10,000 reports of product-related injuries and deaths a year from consumers and others. Due to our small staff size, we can investigate only a few of them.”CPSC’s staff level declined from 518 in 1994 to 446 in 2006.133

Issues—Beefing up Food Inspections and Consumer Product Safety The GAO has recommended consolidating food safety under a single agency. According to GAO, more than 30 laws administered by 12 agencies operating under 50 interagency agree- ments govern food safety. In January 2007, GAO designated food safety as a “high risk” area, noting that “the current fragmented federal system has caused inconsistent oversight, inef- fective coordination, and inefficient use of resources.”134 However, the GAO recommendation should be considered very carefully before moving ahead with a consolidation, given the poor results of the DHS consolidation. Better and faster results might be achieved by beefing up the budgets and workforces of existing agencies, as well as creating a Food Safety and Security Council to improve coordination among agencies before charging ahead with yet another reshuffling of agencies. In addition to adding food inspectors at the FDA, the CPSC clearly needs more personnel given the increasing number of recalls of imported consumer products, for example, chil- dren’s toys imported from China.

Health Resources and Services Administration (HRSA): Access to Health Care The Health Resources and Services Administration (HRSA) in the Department of Health and Human Services is the primary Federal agency dedicated to improving access to health care services for people who are uninsured, isolated geographically, or medically vulnerable. The major components of HRSA are community health centers, health care for people with HIV/AIDS, maternal and child health, training and recruitment grants, and the National Health Service Corps. (See www.hrsa.gov.)

Community Health Centers: Assistance to Medically Underserved Areas (Federally Qualified Health Centers and Rural Health Clinics)

FY 2007 Spending for Community Health Centers: $1.9 billion

See www.GovBudget.com for updated numbers, 03_6part.qxp 11/20/07 10:27 AM Page 213

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In a Nutshell Enactment of the landmark Economic Opportunity Act of 1964 is often viewed as the birth of America’s community health centers. The concept was to combine the resources of local communities with State and Federal funds to establish community-owned neighborhood clin- ics in both urban and rural areas across America. There are two types of community centers: Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).Supporters of community health centers believe the centers have successfully “reduced health disparities, lowered infant mortality rates, and reduced chronic disease” as well as reduced “the need for acute care at hospital emergency rooms.”135

Background Federally Qualified Health Centers.—All FQHCs have several characteristics in common; most importantly, they are required to provide a comprehensive set of primary care services to any individual, regardless of ability to pay. In addition, they are governed by a community board on which patients are a majority, and they generally provide services that help patients gain access, such as outreach, translation, and transportation. While a separate program is dedi- cated to rural clinics (discussed later), FQHCs are located in both urban and rural areas. According to the GAO, “FQHCs vary considerably....For example, an FQHC may be located in an urban area with a large uninsured or Medicaid population ...or in a rural area,where it serves as the only source of primary care for several communities.” There are more than 1,000 FQHCs across the country serving nearly 15 million people—about half living in eco- nomically depressed inner-city neighborhoods and the other half in rural areas.136 Nearly 70% of health center patients have family incomes at or below poverty. The two largest revenue sources for FQHCs are Medicaid (more than a third of total rev- enue) and Federal grant funds administered by HRSA.137 Total Federal funding for health cen- ters is approximately $2 billion.138 Other significant sources of revenue are State and local sources and private grants. FQHCs have been credited with improving access to primary and preventive care, effec- tively managing chronic illness, and reducing health disparities for racial and ethnic minori- ties in key areas such as infant mortality, prenatal care, tuberculosis case rates, and death rates.139 The great success of community heath centers led to increased Federal funding since 2001, with 600 new and expanded health centers. The President in 2005 called for “expand- ing community health centers to every poor county in America . . . [so that] the poor and the indigent (are) able to get good primary care at ...community health centers and not [end up] in ...emergency rooms.”140 Yet, a March 2005 report by George Washington University and the National Association of Community Health Centers found that due to insufficient resources, half of all poor counties still lacked community health centers.141 In addition, a 2006 study published by the Journal of the American Medical Association found that expan- sion of health centers is limited by a shortage of primary care physicians.142 Rural Health Clinics.—While community health centers (now called FQHCs) historically covered both urban and rural areas, rural Americans experienced a unique problem— a short- age of primary care physicians and emergency services. To address these shortages, the Rural Health Clinics (RHCs) program was established in 1977 to facilitate the establishment of 03_6part.qxp 11/20/07 10:27 AM Page 214

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health clinics staffed by physician assistants (PAs) and nurse practitioners (NPs).143 RHCs are funded by Medicaid and Medicare, as well as private insurance and patients (self-pay). Due to incentives from State governments and Congress, the RHC program grew from fewer than 600 in 1990 to 3,600 in 2004. RHCs can operate either independently or as part of a hospital, skilled nursing facility, or home health agency.144 In addition to primary care and emergency services, RHCs have also been authorized to provide immunization services for rural chil- dren.145 RHCs have been credited with stabilizing local rural economies, in addition to pro- viding much needed health care services.

Recommended Sources for More Information on FQHCs and RHCs

• History of the Community Health Center Movement: National Association of Community Health Centers, http://www.nachc.com/about/aboutcenters.asp; Alice Sardell, The U.S. Experiment in Social Medicine: The Community Health Center Program, 1965–86 (Pittsburgh: Pittsburgh Press: 1988). • GAO: “State and Federal Implementation Issues for Medicaid’s New Payment System (for FQHCs and RHCs),” GAO-05-452, June 2005; “Community Health Centers: Adapting to Changing Health Care Environment Key to Success,”GAO/HEHS-00-39, March 2000. • Rural Health Centers: www.narhc.org; www.kff.org/uninsured/upload/The-Uninsured-in-Rural- America-Update-PDF.pdf; www.oig.hhs.gov/oei/reports/oei-05-03-00170.pdf; www.aapa.org/gandp /rhc.html. • Kaiser Foundation: “Health Centers Reauthorization: An Overview of Achievements and Challenges,” March 2006, http://www.gwumc.edu/sphhs/healthpolicy/chsrp/downloads/7471.pdf. • National Association of Community Health Centers: “A Nation’s Health at Risk: Growing Unin- sured, Budget Cutbacks Challenge President’s Initiative to Put a Health Center in Every Poor County,” March 2005, http://www.nachc.com/research/Files/poorcountiesSTIB9.pdf. • National Health Policy Forum/George Washington University: “The Fundamentals of Commu- nity Health Centers,”August 31, 2004.

Ryan White CARE Act: Health Care for People with HIV/AIDS

FY 2007 Spending for the Ryan White CARE Act (HIV/AIDS): $2.1 billion

See www.GovBudget.com for updated numbers.

In a Nutshell The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, administered by HRSA, provides grants to states and cities for treatment and medications for a half million low-income and uninsured persons with HIV/AIDS. CARE Act funds are used for medical care, drug treatments (known as the ADAP146 program), dental care, home health and hos- pice care, and outpatient mental health and substance abuse treatment.147

Background Acquired immune deficiency syndrome (AIDS) impairs the immune system and leaves peo- ple infected with the virus susceptible to a variety of infections and cancer. Since 1981, nearly 03_6part.qxp 11/20/07 10:27 AM Page 215

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a million AIDS cases in the United States have been reported to the CDC. Out of the total number of reported AIDS cases, over 400,000 persons were reported to be living with AIDS as of the end of December 2003, and more than 350,000 persons were known to be infected with the human immunodeficiency virus (HIV).148 CARE Act expenditures are part of the estimated $23.3 billion spent annually by the Fed- eral government on HIV/AIDS, domestically and internationally, with about two-thirds spent on treatment programs, 13% on research, 11% on prevention, and 9% on income support (cash and housing assistance).149 The funding flows through a number of government pro- grams (see table 3-6.6). Global Efforts.—Internationally, AIDS has reached pandemic levels. As of FY 2007, the United States was spending nearly $4.5 billion annually on global AIDS relief programs. The funds flow through the President’s Emergency Plan for AIDS Relief (PEPFAR), con- tributions to the Global AIDS Trust Fund, and international activities of NIH and CDC.150 According to the Joint UN Program on HIV/AIDS, nearly 40 million people are cur- rently living with HIV/AIDS, including nearly 2.2 million children under age 15. The pan- demic is heavily concentrated in Sub-Saharan Africa, which has 11% of the world’s population but nearly 65% of the world’s HIV cases. By the end of 2005, an estimated 27.5 million Africans had died of AIDS.151 Another catastrophic AIDS issue is the exploding num- ber of orphaned children. By 2010, it is expected that more than 25 million children will be orphaned due to AIDS.152 From FY 1981 through FY 2004, the Federal government invested a total of $150 billion in HIV/AIDS programs.153

Maternal and Child Health (MCH)

FY 2007 Spending for MCH: $835 million154

See www.GovBudget.com for updated numbers.

In a Nutshell HRSA’s Maternal and Child Health Bureau administers several programs aimed at improving access to maternal and child health services. The largest of these programs is the Maternal and

TABLE 3-6.6 FY 2007 AIDS Funding Breakdown (billions of dollars) Medicaid $6.8 Supplemental Security Income $0.4 International Aid (State/AID/HHS) $4.5 Other HHS Discretionary $0.3 Medicare $3.5 HUD $0.3 NIH Research $2.5 SAMHSA $0.2 Ryan White CARE $2.1 Federal Employee Health Benefits $0.1 Social Security Disability $1.4 Defense Health Care $0.1 CDC $0.7 Prisons $0.02 Veterans $0.5 Total 2007 HIV/AIDS Spending $23.3 B

Source: CRS, Report # RL30731, March 8, 2007. 03_6part.qxp 11/20/07 10:27 AM Page 216

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Child Health Block Grant that provides funds ($700 million in FY 2007) to States for services that address infant mortality, women’s health, primary care and diagnostic services for chil- dren, and coordinated care for special needs. Annually, the MCH Block Grant serves 27 mil- lion women and children in the United States.155

Background: Title V Block Grant The MCH Block Grant was created by the Omnibus Budget Reconciliation Act of 2001 (OBRA-2001). A State’s share of the MCH Block Grant is based on the respective State’s share of the seven programs that were consolidated to create the block grant; those programs dealt with adolescent pregnancy, lead poisoning, sudden infant death syndrome (SIDS), hemo- philia, and other genetic conditions. Enacted in Title V of the Social Security Act, the MCH Block Grant requires that States use at least 30% of their allocation for preventive and primary care services for children and another 30% for services for children with special health care needs. States have discretion over how they use the remaining 40% within broad guidelines. Typical uses for the grant funds include prenatal care, immunizations, vision and hear- ing screening, services to screen for lead poisoning and counseling for parents in the after- math of SIDS. MCH is a matching grant program; in order to receive MCH Block Grant funds, States must provide $3 for every $4 they receive in Federal funds.

National Health Service Corps (NHSC)

FY 2007 Spending for NHSC: $125 million

See www.GovBudget.com for updated numbers.

In a Nutshell The NHSC places primary care health professionals at facilities in medically underserved areas in exchange for scholarships or loan repayments. The current field strength of NHSC is 4,000 health care professionals.156

Background Unlike the PHS Commissioned Corps, which is a Federal uniformed service, NHSC157 is a program that places private citizens—primary care health professionals including medical and dental students, residents, and practitioners—at facilities in “medically underserved areas.” The primary care health professionals who sign up for the NHSC agree to serve in a medically underserved area upon completion of training or residency for a minimum of two years in exchange for scholarships or loan repayments. NHSC also provides matching grants to states that operate similar grant and loan pro- grams and operates as a placement service for health care professionals desiring to work in 03_6part.qxp 11/20/07 10:27 AM Page 217

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medically underserved areas. Underserved areas are locations where there is a shortage of medical, dental or mental health professionals. The areas tend to be located in inner cities, farm towns, remote areas and migrant communities. Since 1972, more than 24,500 health professionals have participated in the NHSC pro- gram. One of the great successes of the program is that two-thirds of NHSC participants remain in underserved communities after fulfilling their two-year service commitments.158

Recommended Sources for More Information on NHSC

• National Health Service Corps: http://nhsc.bhpr.hrsa.gov/. • Eric Redman, The Dance of Legislation (New York: Simon & Shuster, 1973; Seattle: University of Washington Press, 2001).

Indian Health Service and Other Programs for Native Americans

FY 2007 Federal Spending for Indian Health: $3.2 billion Total Spending for Indian Programs: $6.1 billion

See www.GovBudget.com for updated numbers.

In a Nutshell A variety of Federal government programs provide assistance to Indian Tribes and Alaska Native Corporations, among them the Indian Health Service (IHS), with an FY 2007 budget of $3.2 billion. IHS is a direct provider of health services. About 1.8 million Indians and Alaska Natives are eligible for services, and 1.6 million are active users of the system.159

Background on IHS American Indian Tribes (“Tribes”) and Alaska Native Corporations (ANCs) have a unique “government-to-government” relationship with the United States. The 560 Tribes and ANCs are recognized as sovereign entities. The U.S. government has a “Federal trust responsibility” for the health and well-being of American Indians and Alaska Natives rooted in a long his- tory of court decisions, treaties, Acts of Congress, and executive orders.160 IHS is not a health insurance program; rather, it is a direct provider of health services with a health system consisting of more than 600 health care facilities—located primarily in West- ern, remote regions of the United States—and employing 900 physicians and 2,700 nurses. Tribes and ANCs also have the option of assuming responsibility for administration and oper- ation of their own health services. Many have chosen this option; Tribes and ANCs adminis- ter 15 hospitals, 221 health centers, 9 residential treatment centers, and 176 Alaska village clinics. Medicaid reimburses IHS for services to Medicaid enrollees. One recent analysis notes that while the Indian Health Service budget has remained inadequate, health care services are “thriving among the Northwest tribes” because they have worked closely with State Medicaid officials and have been increasingly able to access Medicaid funding.163 03_6part.qxp 11/20/07 10:27 AM Page 218

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Myth: American Indians and Alaska Natives no longer experience major health dispar- ities compared with the general population.

Fact: Death rates from a variety of factors are significantly higher for Native Americans compared with the general population, including tuberculosis (600% higher), alcoholism (510% higher), motor vehicle crashes (229% higher), diabetes (189% higher), homicide (61% higher), and suicide (62% higher).161 According to a recent analysis, “the geo- graphic isolation of many tribes and the grossly inadequate behavioral health staff and service levels across Indian country are spurring problems to epidemic proportions— for instance, youth suicide and violent death in some Alaska Native villages.”162

Other Programs for American Indians and Alaska Natives Other Federal programs for American Indians and Alaska Natives are administered by the Bureau of Indian Affairs (BIA) and the Bureau of Indian Education (BIE)—both in the Department of the Interior. Because Tribes and ANCs are sovereign entities, BIA and BIE spend more than $2 billion per year providing many of the same services as State and local governments:

• education for over 48,000 elementary and secondary students; • 26 tribal colleges, universities, and postsecondary schools; • social services and housing; • law enforcement; • fire protection; • natural resources management on Trust lands; • economic development programs; • guaranteed loans for small business development; • administration of tribal courts; • repair and maintenance of roads and bridges; and • operation and maintenance of irrigation infrastructures and dams.

Issue: Unemployment and Poverty among Native Americans Notwithstanding this wide-ranging network of Federal programs, a recent Federal report issued the startling finding that two-thirds of the Indian workforce was unemployed or living in poverty in 2003.164

Recommended Sources for More Information on Native American Programs

• Indian Health Service: www.ihs.gov. • Bureau of Indian Affairs: http://www.doi.gov/budget/2007/07Hilites/BH79.pdf. • Urban Institute: A National Roundtable on the Indian Health System and Medicaid Reform, August 31, 2005, http://www.urban.org/UploadedPDF/411236_indian_health_system.pdf. • National Indian Health Board: http://www.nihb.org/. 03_6part.qxp 11/20/07 10:27 AM Page 219

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National Institutes of Health (NIH)

FY 2007 Federal Spending for NIH: $28.8 billion

See www.GovBudget.com for updated numbers.

In a Nutshell The National Institutes of Health consists of 27 institutes and centers dedicated to biomed- ical, behavioral, and basic scientific research. In addition to research, NIH is a lead agency in health information dissemination. Most of the NIH budget—over 80%—is disbursed through grants to scientists working in universities, teaching hospitals, and independent research insti- tutions in the United States and abroad.165 The NIH budget doubled between 1998 and 2003 but has been virtually flat in recent years.

Background NIH is a collection of 20 semi-independent “Institutes” and 7 “Centers” dedicated to bio- medical and behavioral research. Each of the Institutes and Centers receives a separate appro- priation from Congress. Congress therefore sets broad spending priorities among the various components of NIH, but it does not earmark funds for specific research projects or funding recipients. Nineteen of the Institutes are dedicated to specific areas of biomedical research: (1) Can- cer; (2) Eye Disease; (3) Heart, Lung, and Blood; (4) Human Genome; (5) Aging; (6) Alcohol Abuse; (7) Allergy and Infectious Diseases; (8) Arthritis, Musculoskeletal, and Skin Diseases; (9) Biomedical Imaging and Bioengineering; (10) Child Health and Human Development; (11) Deafness and Other Communication Disorders; (12) Dental and Craniofacial Research; (13) Diabetes, Digestive, and Kidney Diseases; (14) Drug Abuse; (15) Environmental Health Sciences; (16) General Medical Sciences; (17) Mental Health; (18) Neurological Disorders and Stroke; and (19) Nursing Research. The 20th Institute is the National Library of Medicine, which collects and organizes biomedical science information on a grand scale. The seven Centers conduct a variety of functions: incorporating advanced computer tech- nology into biomedical research, peer review of research proposals, promotion of scientific research internationally, the study of alternative medicine, promotion of minority health and eliminating health disparities, improving research resources and infrastructure, and clinical research. From FY 1998 through 2003, Congress—responding to a massive advocacy campaign by health care and research organizations166—agreed to double NIH funding from $13.6 billion to $27.1 billion.167 However, the five-year doubling period has been followed by flat funding in dollar terms and a decrease in inflation-adjusted terms. The current trend of flat NIH funding has generated a great deal of concern in both the medical and scientific research communities. According to a recent analysis in the New Eng- land Journal of Medicine, “This downturn is more severe than any we have faced previously, since it comes on the heels of the doubling of the budget and threatens to erode the benefits of that investment. It takes many years for institutions to develop investigators skilled in 03_6part.qxp 11/20/07 10:27 AM Page 220

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Myth: As in other Federal research programs, Congress “earmarks” NIH funds for par- ticular research projects at specific institutions in their States and congressional districts.

Fact: NIH is the most prominent exception to Congress’ earmarking practices. Mem- bers of the Appropriations Committees long ago decided not to earmark NIH funds for specific disease research projects. If earmarks were permitted, every disease advocacy group and research institution would engage in ongoing, massive lobbying Campaigns to secure earmarks; and saying yes to one disease group and no to another would be a political no-win situation. The Congress has instead adopted the practice of appropri- ating large chunks of funding to each of the Institutes and Centers, and it very deliber- ately refrains from going a step further and earmarking any of those funds for specific research projects. To be sure, the Appropriations Committees do frequently include report language “urging” NIH to focus research dollars on particular diseases; but unlike most appropriations report language, which is viewed by Federal agencies as “binding” from a practical political perspective, NIH report language on research priorities is gen- erally viewed as nonbinding. In reality, research grants are awarded based on a scientific “peer review”169 process—without regard to language in committee reports. Table 3- 6.7 and figure 3-6.3 display how the FY 2007 Appropriations Act divided funds among the various Institutes; the pie chart illustrates the relative size of research budgets.

Myth: Most NIH research is conducted by NIH doctors and scientists.

Fact: Only 10% of NIH research funds are allocated for “intramural” research—that is, research conducted by NIH scientists and doctors.171 The bulk of NIH’s $27 billion is allocated to what is known as “extramural” research—research conducted off-campus by scientists working in universities, academic health centers, and hospitals.172

Myth: Almost one-third of biomedical research grant proposals to NIH are able to receive funding.

Fact: That was true during the “doubling years,” when the success rate was more than 30%. However, NIH estimated the percentage of research grant proposals that could be funded at less than 20% for FY 2007. In general, this trend reflects “more and more applicants chasing fewer and fewer awards....The increase in applications stems from both the expanded research capacity at many academic medical centers [teaching hos- pitals] and the increase in the number of applications submitted per applicant, as researchers try more than one route to obtain funding.”173 03_6part.qxp 11/20/07 10:27 AM Page 221

Table 3-6.7: FY 2007 NIH APPROPRIATIONS BY INSTITUTES AND CENTERS ($ in billions)* National Cancer Institute 4.798 National Institute of Allergy and Infectious Diseases 4.417 National Heart, Lung, and Blood Institute 2.923 National Institute of General Medical Sciences 1.936 Institute of Diabetes & Digestive & Kidney Diseases 1.706 National Institute of Neurological Disorders & Stroke 1.536 National Institute of Mental Health 1.405 Institute of Child Health and Human Development 1.255 National Center for Research Resources 1.133 National Institute on Aging 1.047 National Institute on Drug Abuse 1.001 National Eye Institute 0.667 National Institute of Environmental Health Sciences 0.642 Arthritis & Musculoskeletal & Skin Diseases 0.508 National Human Genome Research Institute 0.487 National Institute on Alcohol Abuse and Alcoholism 0.436 Nat’l Inst. on Deafness & Other Communication Disorders 0.394 National Institute of Dental & Craniofacial Research 0.390 National Library of Medicine 0.321 Institute of Biomedical Imaging & Bioengineering 0.297 Center on Minority Health & Health Disparities 0.199 National Institute of Nursing Research 0.137 Center for Complementary & Alternative Medicine 0.122 Fogarty International Center 0.066

Note: Explanation: 1.0 = $1 billion; 0.667 = $667 million. Source: Congressional Research Service.170 *The NIH Director has nearly a half billion dollars in discretionary funds to allocate for various priorities.

For estimates of funding for various diseases/conditions: www.nih.gov/news/fundin- gresearchareas.htm 03_6part.qxp 11/20/07 10:27 AM Page 222

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FIGURE 3-6.3 Relative Size of NIH Research Budgets emoneG namuH emoneG

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modern research techniques and to build the costly, complicated infrastructure necessary for biomedical research. Rebuilding the investigator pool and the infrastructure after a down- turn is expensive and time-consuming and weakens the benefits of prior funding.”168

Substance Abuse and Mental Health Services Administration

FY 2007 Federal Spending for SAMHSA: $3.2 billion 0.1% of Federal Spending

See www.GovBudget.com for updated numbers.

In a Nutshell SAMHSA provides block grants and program grants to State and local governments and com- munity-based organizations aimed at preventing and treating substance abuse and mental health disorders. Grantees use the funds for education and training, translating new research findings into prevention and treatment services, and early intervention. (However, Medicaid provides the bulk of public funds invested in mental health services, and the National Insti- tute of Mental Health at NIH conducts and supports mental health research).

Background Estimates are that 20 million adults and 6 million children and teenagers in the United States suffer from mental disorders. Half the people with disorders do not receive treatment due, in 03_6part.qxp 11/20/07 10:27 AM Page 223

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part, to lack of access to effective mental health services. In July 2003, the President’s New Freedom Commission on Mental Health found the U.S. mental health system “fragmented and in disarray, lead[ing] to unnecessary and costly disability, homelessness, school failure and incarceration.”174 The Commission called for a “fundamental transformation.” However, advocacy groups highlight that in the two years immediately following release of the Commission’s report:

• 63,000 Americans died by suicide—more than by homicide, • more than 300,000 Americans with mental illnesses were incarcerated instead of treated, and • the American economy lost $150 billion in productivity due to unaddressed mental health needs.175

SAMHSA’s mission is to support State and local efforts to treat substance abuse and men- tal health disorders. Despite the broad scope of this mission, in FY 2007 SAMHSA had a national budget of less than $900 million to address mental health issues and about $2.3 bil- lion for substance abuse prevention and treatment grants.

Issue: No Funding to Follow-up on Commission Findings Despite the grave assessment of the President’s Commission—that is, the pervasiveness of untreated mental health disorders; the implications for American society in the areas of crime, homelessness, and worker productivity; and the ineffectiveness of the current U.S. “mental health system”176—the Administration has requested reduced levels of funding for SAMHSA’s mental health activities for the last three years.177 One bright spot was Congress’ recent enactment of the Garrett Lee Smith Memorial Act, which provides grants to support youth suicide prevention activities in States and on college campuses.178

Recommended Sources for More Information on SAMHSA and Mental Health

• President’s New Freedom Commission on Mental Health: “Interim Report” and “Final Report,” http://www.mentalhealthcommission.gov/. • Kaiser HealthCast: March 29 reconvening of the President’s New Freedom Commission. http://www.kaisernetwork.org/health_cast/hcast_index.cfm?display=detail&hc=1687 (including dis- cussion of returning war veterans and mental health). • SAMHSA: www.samhsa.gov; www.samhsa.gov/Budget/FY2008/index.aspx. • Mental Health: A Report of the Surgeon General (1999): http://www.surgeongeneral.gov /library/mentalhealth/home.html. • Out of the Shadow: a widely acclaimed documentary that puts a human face on mental illness; http://www.outoftheshadow.com/index.php. • Summary of SAMHSA mental health programs by advocacy groups: http://www.mhlg.org /appropfy2008.pdf. • NAMI: “Grading the States,”a report that finds a mental health system in “shambles”,www.nami.org /content/navigationmenu/grading_the_states/project_overview/overview.htm. 03_6part.qxp 11/20/07 10:27 AM Page 224

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Biomedical Advanced Research and Development Authority (BARDA) In a Nutshell The most recent addition to the U.S. Public Health Service is the Biomedical Advanced Research and Development Authority (BARDA). It was authorized by Congress in the clos- ing days of 2006, to assist the faltering “Project BioShield.”BioShield was established in 2004 to stockpile medical countermeasures for potential terrorist attacks using chemical, biological, radiological, or nuclear (CBRN) weapons.

Background In July 2004, because few medical countermeasures existed to respond to terrorist attacks using CBRN weapons, Congress established Project BioShield. The BioShield Act had two key provi- sions. First, BioShield sought to encourage private sector development of medical countermea- sures by offering a government-market guarantee for products that would not otherwise have a market. HHS would be able to obligate funds to purchase countermeasures while they were still in development, but companies would receive payment only when the countermeasure was deliv- ered. Second, the BioShield Act authorized the HHS Secretary to temporarily allow the emergency use of countermeasures in advance of FDA approval (Emergency Use Authorization). Congress advance appropriated $5.6 billion to be available for BioShield contracts over a 10-year period. However, by 2006 it was clear that Project BioShield was failing. HHS, which had the lead responsibility for implementing BioShield, failed to assess the greatest risks to the U.S. popu- lation, to develop a rational and comprehensive countermeasure acquisition strategy, and to coordinate detailed response plans with the Departments of Defense and Homeland Security, as well as State and local governments.179 The Congressional Research Service reported in June 2007 that “the interagency process responsible for deciding which countermeasures to procure (through BioShield) has changed multiple times since this program’s inception” in 2004.180 With private sector companies becoming increasingly skeptical about the wisdom of working with BioShield, and Members of Congress becoming increasingly restive about the lack of progress on stockpiling medical countermeasures, Congress enacted in late 2006 the Pandemic and All-Hazard Preparedness Act,181 which established BARDA. BARDA is not designed to replace BioShield funding; rather, the concept of BARDA is to further incentivize private sector development of medical countermeasures by making government grants avail- able during the development phase. In addition, the Act placed BARDA and BioShield under the administrative direction of a new Assistant Secretary for Preparedness and Response at HHS, who is responsible for setting priorities and coordinating interagency, and Federal, State, and local emergency responses.182

Issue: Katrina Times 100? It is too early to assess whether this latest bureaucratic reshuffling and addition of new finan- cial incentives from BARDA will advance the nation toward better preparedness for chemi- cal, biological, radiological, and nuclear terrorist threats. However, there is sufficient reason for skepticism. HHS has thus far failed to stockpile countermeasures for the most destructive 03_6part.qxp 11/20/07 10:27 AM Page 225

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CBRN threats. Moreover, HHS lacks the resources, experience, and logistical infrastructure necessary for rapid delivery of hundreds of thousands of medical countermeasures in the aftermath of a terrorist attack using weapons of mass destruction. Our nation faces the pos- sibility of a catastrophe 100 times worse than Katrina, unless the White House and Congress put in place a credible CBRN preparedness strategy without further delay.183

“Five years after September 11, 2001, the United States remains dangerously unprepared to deal with the aftermath of a terrorist attack involving nuclear weapons, dirty bombs or explosions at nuclear power plants....We found that the U.S. government lacks a workable plan to respond to the likely medical needs. Thousands of American civilians injured by a nuclear terrorist attack could survive with better preparedness.” —Physi- cians for Social Responsibility184

Notes

1. Testimony of Peter R. Orszag, Director, Congressional Budget Office, Senate Budget Committee, June 21, 2007, 1. 2. CRS analysis of data from the March 2006 Current Population Survey. Chris Peterson, “Health Insurance Coverage: Characteristics of the Insured and Uninsured Populations in 2005,” 96-891 EPW (Washington, D.C.: Congressional Research Service, August 30, 2006), 2. See also Kaiser Family Foun- dation, “Medicaid: A Primer,”March 2007, 1. 3. A break in coverage is defined as “63 days or more.”The intent of HIPAA is to make group health coverage “portable.” 4. See chapter 3-1 for details. 5. Because an enormous demand exists for VA health care, services are provided on a priority basis. There are eight priority levels or “groups.”Assignment to a particular priority group depends on whether a veteran has a service-connected injury or disability, the veteran’s disability rating, and income level. See chapter 3-3 for details. 6. Jacqueline Rae Roche and Sidath Viranga Panangala, “Health Care for Dependents and Survivors of Veterans” RS22483 (Washington, D.C.: Congressional Research Service, August 1, 2006). 7. The two-year waiting period is waived for people with ALS (Lou Gehrig’s Disease). People with end-stage renal (kidney) disease are also entitled to immediate Medicare coverage. 8. For a description of the Massachusetts health reform plan, see April Grady, “The Massachusetts Health Reform Plan,” RS22447 (Washington, D.C.: Congressional Research Service, May 26, 2006). According the CRS report, the plan “aims to achieve near-universal health insurance coverage by expanding Medicaid and SCHIP eligibility, providing premium subsidies for certain individuals, and mandating the purchase of insurance for those who can afford it.” The legislation also “creates a pub- lic entity called the Connector to serve as a clearinghouse for the purchase of insurance by small employ- ers and individuals who are not offered subsidized insurance by a large employer.” 9. See http://hcr.vermont.gov/. 10. See Marilyn Werber Serafini, “Cover Story—The States Step Up,” National Journal, March 17, 2007. See also www.statehealthfacts.org, sponsored by the Kaiser Family Foundation, and National Gov- ernors Association (NGA) Center for Best Practices at www.NGA.org. 11. See Bernadette Fernandez,“Health Insurance: State High Risk Pools,”RL31745 (Washington, D.C.: Congressional Research Service, January 31, 2007). The ability to join these pools is also sometimes 03_6part.qxp 11/20/07 10:27 AM Page 226

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extended to people whose COBRA continuation coverage has recently expired. See the details of the Maryland high risk pool at http://www.marylandhealthinsuranceplan.net/. 12. Chris Peterson, “Health Insurance Coverage: Characteristics of the Insured and Uninsured Pop- ulations in 2005,”96-691 EPW (Washington, D.C.: Congressional Research Service, August 30, 2006), 1. 13. In 1986, Congress passed the landmark Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions. The law amends the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code and the Public Health Service Act to require, in most cases, the option to purchase 18 months of continuation of group health coverage that otherwise might be terminated when leaving a job. For more details, see http://www.dol.gov/ebsa/faqs/faq_consumer_cobra.html. 14. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) amended ERISA to provide new rights and protections for people who have had continuous group health insurance cov- erage. In particular, if a worker finds a new job that offers health coverage, or is eligible for coverage under a family member’s employment-based plan, HIPAA includes protections for coverage under group health plans that limit exclusions for preexisting conditions and prohibit discrimination against employees and dependents based on their health status. For people who lose group coverage and must apply for an individual policy for themselves or their family, HIPAA includes protections for individ- ual policies that guarantee access to individual policies for people who qualify and guarantee renewa- bility of individual policies. For more details, see http://www.dol.gov/ebsa/faqs/faq_consumer _hipaa.html. 15. This reflects gross outlays of the Medicare program; source: CBO’s March 2007 baseline. Net total outlays, including offsetting premium payments and other collections, are $370 billion. 16. If offsetting premiums and other collections are included, the net total spending for Medicare is about 13% of the budget. 17. Lewis D. Eigen and Jonathan P. Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 276. 18. Medicare eligibility begins after receiving Social Security disability for at least two years. 19. Almost all elderly are automatically eligible at 65 because they or their spouse paid payroll tax during their career. The two-year disability waiting period is waived for people diagnosed with ALS (Lou Gehrig’s disease). 20. The Commonwealth Fund, “Medicare at 40: Taking Stock,”by Karen Davis, June 26, 2005. 21. “Potential Effects of the ‘Premium Support” Proposal on the Security of Medicare,” Journal of the American Medical Association, November 10, 1999, 1761. 22. Source for Medicare coverage numbers: The 2007 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (Washington, D.C.: Boards of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds, April 23, 2007), 2. 23. Eigen and Siegel, The Macmillan Dictionary of Political Quotations, 276. 24. In FY 2007. 25. The Medicare Part A Trust Fund also receives a portion of the proceeds of taxing Social Security benefits for high-income beneficiaries. 26. Medicare Part B is also called Supplementary Medical Insurance, or “SMI.” 27. “Potential Effects of the ‘Premium Support” Proposal on the Security of Medicare,” Journal of the American Medical Association, November 10, 1999. 28. See Jennifer O’Sulllivan, “Medicare: Part B Premiums,” RL32582 (Washington, D.C.: Congres- sional Research Service, February 14, 2007). 29. Coinsurance is a percentage owed by the insured. Copayments are another type of beneficiary cost sharing that refers to a specific dollar amount paid for a medical service by the insured person. 30. Medicare Advantage replaced the Medicare+Choice managed care program in 2003. 03_6part.qxp 11/20/07 10:27 AM Page 227

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31. CBO, Testimony of Peter Orszag on the Medicare Advantage Program before the House Budget Committee, June 28, 2007. The Commonwealth Fund, “The Cost of Privatization: Extra Payments to Medicare Advantage Plans” November 2006. 32. Kaiser Family Foundation, “Medicare: A Primer,” March 2007, www.kff.org/medicare/upload /7615.pdf. 33. Transfers from States are a source of income for Medicare Part D, reflecting the transfer of prescrip- tion drug coverage for low-income beneficiaries from the Federal-State Medicaid program to the Federal- only Medicare program. The 2007 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medicare Insurance Trust Funds ,table II.B1 (Washington, D.C.: Boards of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds, 2007), 5. 34. The average monthly beneficiary premium in 2006 is $35. CBO, “Overview of the Medicare Pre- scription Drug, Improvement, and Modernization Act of 2003,”December 6, 2004, 8. 35. See appendix Q for an explanation of the FPL. 36. Jennifer O’Sullivan, “Medicare: Enrollment in Medicare Drug Plans” (Washington, D.C.: Con- gressional Research Service, November 29, 2006). 37. Jennifer O’Sullivan, “Medicare Prescription Drug Benefit: Low-Income Provisions,” RL32902 (Washington, D.C.: Congressional Research Service, March 21, 2007). 38. Medicare drug plans vary widely, since they are permitted to offer plans that are “actuarially equiv- alent” (of equal value) to the standard benefit. However, according to the Kaiser Foundation, most Part D plans have a coverage gap. Kaiser Family Foundation,“Medicare: A Primer,”7. www.kff.org/medicare /upload/7615.pdf. 39. Kaiser Family Foundation, “Medicare: A Primer,”7. www.kff.org/medicare/upload/7615.pdf. 40. Families USA Press Release, “Drug Plan Coverage for Seniors in ‘Doughnut Hole’ Will Be Scarcer and Less Affordable in 2007,”November 1, 2006, http://www.familiesusa.org/resources/newsroom/press- releases/2006-press-releases/drug-plan-coverage-for.html. 41. See the Commonwealth Fund, “How Beneficiaries Fare under the New Medicare Drug Bill,”Mar- ilyn Moon, June 2004. 42. MedPAC, “Data Book: Health Care Spending and the Medicare Program,”June 2003. 43. The 2007 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medicare Insurance Trust Funds, 33. 44. CBO projects Medicare spending of $851 billion in 2017. Congressional Budget Office, The Bud- get and Economic Outlook: Fiscal Years 2008 to 2017 (Washington, D.C.: Author, January 2007), 55. 45. The 2007 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medicare Insurance Trust Funds, 33. 46. The 2007 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medicare Insurance Trust Funds, 27. 47. The 2007 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medicare Insurance Trust Funds, 17. 48. Medicare Prescription Drug, Improvement, and Modernization Act of 2003, P.L. 108-173. 49. Section 804, Medicare Prescription Drug, Improvement, and Modernization Act of 2003, P.L.108-173. 50. This reflects the Federal portion of this joint Federal-State program. 51. If offsetting premiums and other collections are included, the net total spending for Medicare is about 13% of the budget. 52. Kaiser Family Foundation, “Medicaid: A Primer.” 53. Low-income childless adults are generally not covered by Medicaid. 54. The Social Security Amendments of 1965; P.L. 89-87. 55. See Elicia Herz, “Medicaid Cost-Sharing under the Deficit Reduction Act of 2005,” RS22578 (Washington, D.C.: Congressional Research Service, January 25, 2007). 03_6part.qxp 11/20/07 10:27 AM Page 228

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56. Kaiser Family Foundation, “Medicaid: A Primer,”1. 57. Source: CBO, Budget and Economic Outlook, January 2007, 54–55. 58. The focus of this analysis is the nonelderly poor, because nearly all elderly are covered by Medicare. 59. Elicia Herz, “How Medicaid Works—Program Basics,” RL32277 (Washington, D.C.: Congres- sional Research Service, January 4, 2006), 2. 60. For background on eligibility, see Herz, “How Medicaid Works,”2–12. 61. Kaiser Family Foundation, “Medicaid: A Primer.” 62. “Under EPSDT, children receive well-child visits, immunizations, laboratory tests, and other screening services at regular intervals. In addition medical care that is necessary to correct or amelio- rate identified defects, physical and mental illness, and other conditions must be provided, including optional services that states do not otherwise cover in their Medicaid programs.” CRS, “Medicaid: A Primer,”December 22, 2005, 4–5. 63. Known as Qualified Medicare Beneficiaries. In addition, Medicare Part B premiums are paid where incomes do not exceed 120% of the FPL (known as Specified Low-Income Medicare Beneficia- ries; some Part B premiums are paid where incomes do not exceed 135% of the FPL (known as Quali- fying Individuals); and Medicare Part A premiums are paid where incomes of persons previously entitled to Medicare on the basis of disability do not exceed 200% of the FPL (Qualified Disabled and Working Individuals, or QDWIs). 64. April Grady, “Medicaid: The Federal Medical Assistance Percentage (FMAP),” RL32950 (Wash- ington, D.C.: Congressional Research Service, May 15, 2007). 65. “Budget neutral,”meaning that it does not result in increased Federal Medicaid reimbursements to the State. 66. CRS: “Medicaid: A Primer,” December 22, 2005, 9; “Medicaid and SCHIP Section 115 Research and Development Waivers,”March 5, 2004. 67. Marilyn Werber Serafini, “Balancing Act,” National Journal, August 13, 2006, 2574. 68. Julie Stone, “Medicaid Coverage for Long-Term Care,” RL33593 (Washington, D.C.: Congres- sional Research Service, January 5, 2007). 69. Kaiser Family Foundation, “Medicaid: A Primer,”7. 70. Kaiser Family Foundation, “Medicaid: A Primer,”6. 71. Kaiser Family Foundation, “Medicaid: A Primer,”8. 72. Jean Hearne, “Medicaid Disproportionate Share Payments,” 97-483 (Washington, D.C.: Con- gressional Research Service, January 10, 2005), 9-10. 73. CRS, “Medicaid Issues for the 109th Congress,”by Jean Hearne, April 10, 2006, 4. 74. CBO, The Budget and Economic Outlook: FY s 2008 to 2017 (Washington, D.C.: Author, January 2007), 55. 75. Kaiser Commission on Medicaid and the Uninsured, “The Continuing Medicaid Budget Chal- lenge: State Medicaid Spending Growth and Cost Containment in FY s 2004 and 2005,”October 2004; and “Medicaid Budgets, Spending and Policy Initiatives in State FY s 2005 and 2006,”October 2005. 76. See CRS, “Medicaid Issues for the 109th Congress.” 77. CRS, “Medicaid Issues for the 109th Congress,”5. 78. CRS, “Medicaid Issues for the 109th Congress,”6. 79. Medicaid Commission, “Report to Secretary Leavitt,”September 1, 2005, pp. 7-8. 80. Erik Eckholm, “More Americans Are Spending Time below the Poverty Line,” New York Times, May 9, 2006. 81. CRS, “Medicaid Issues for the 109th Congress,”5. 82. AHRQ press release, April 26, 2006, www.ahrq.gov/news/press/pr2006/meddrugpr.htm. 83. August 1, 2003, letter to Senator Bill Frist from 40 U.S. Senators regarding IME cuts in pending Medicare legislation. 03_6part.qxp 11/20/07 10:27 AM Page 229

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84. See Association of American Medical Colleges (AAMC) at www.aamc.org. 85.In 1982, the Department of Health and Human Services reported to Congress that “the process of graduate medical education results in very intensive treatment regimens . . . there is no question that hospitals with teaching programs have higher patient care costs than hospitals without.” Department of Health and Human Services, “Hospital Prospective Payment for Medicare: A Report to Congress,” December 1982, 48–49. In establishing the special Medicare payments to teaching hospitals, the Con- gress noted “factors such as severity of illness of patients requiring the specialized services and treat- ment programs provided by teaching institutions and the additional costs associated with the teaching residents.” House Ways and Means Committee Rept. No. 98-25, March 4, 1983; and Senate Finance Committee Rept. No. 98-23, March 11, 1983. 86. Source: CMS Office of the Actuary via Association of American Medical Colleges, August 2007. 87. Budget Options (Washington, D.C.: Congressional Research Service, February 2007), 171–72. 88. Source: CMS Office of the Actuary via Association of American Medical Colleges, August 2007. 89. Budget Options, 173. 90. CBO, “Medicare and Graduate Medical Education” (Washington, D.C.: Congressional Budget Office, September 1995), ix. 91. Source: “A 50-State Survey” (November 2006) prepared by Tim Henderson for the Association of American Medical Colleges. 92. OMB, Budget of the United States, FY 2008 (Washington, D.C.: Author, 2007), 68. 93. Health Resources and Services Administration, discussed later in this chapter. 94. Association of American Medical Colleges, “Bush Budget Means Uphill Battle for Academic Medicine,”March 2006, www.aamc.org/newsroom/reporter/march06/budget.htm. 95. Conversations the author had with Senator Moynihan during 1999–2000, as his Chief Health Counsel at the Senate Finance Committee. 96. See www.aamc.org/advocacy/library/gme/gme0011.htm. 97. See AAMC, “AAMC calls for 30 Percent Increase in Medical School Enrollment,” www.aamc.org/newsroom/pressrel/2006/060619.htm. 98. This reflects the Federal portion of this joint Federal-State program. 99. Centers for Medicare and Medicaid Services at the Department of Health and Human Services. 100. The Balanced Budget Act of 1997, P.L. 105-33. 101. CBO, “The State Children’s Health Insurance Program” (Washington, D.C.: Congressional Bud- get Office, May 2007), vii. 102. As of FY 2006, 25 States and D.C. had established upper income limits at 200% FPL; another 15 States exceeded 200% FPL; and the remaining 9 States set limits below 200% FPL. Elicia Herz and Chris Peterson, “State Children’s Health Insurance Program,” RL30473 (Washington, D.C.: Congres- sional Research Service, January 30, 2007), 2. 103. The higher matching rate is sometimes known as the “enhanced FMAP.” Under the formula, allocations to states are based on the number of low-income uninsured children in the State, the num- ber of total low-income children, and a geographic health care cost factor. Herz and Peterson, “State Children’s Health Insurance Program,”8. 104. However, as discussed later in this chapter, if a State chooses the Medicaid option, the State may not turn away applicants who qualify for eligibility—even after the SCHIP funds run out. The Medic- aid option therefore, effectively expands the Medicaid entitlement. 105. Because the program is not an entitlement, it is subject to amounts available under the appro- priation. States can therefore exhaust their share of the annually available funds. However, SCHIP contains a mechanism to redistribute unused funds from low spending states to cover shortfalls in the higher spending states. See Chris Peterson, “SCHIP Financing: Funding Projections and State Redistribution Issues,” RL32806 (Washington, D.C.: Congressional Research Service, January 30, 2007). 03_6part.qxp 11/20/07 10:27 AM Page 230

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106. Dawn Horner and Beth Morrow, “Outreach Strategies for Medicaid and SCHIP” (Washington, D.C.: Kaiser Commission on Medicaid and the Uninsured, April 2006). 107. For a State-by-State breakdown, see www.cms.hhs.gov/LowCostHealthInsFamChild/down- loads/SCHIPStatePlanActivityMap.pdf. 108. As of November 2006, 10 States reported enrolling 639,000 adults in SCHIP. Herz and Peter- son, “State Children’s Health Insurance Program,”9–10. 109. Institute of Medicine, “The Future of the Public’s Health in the 21st Century,”November 2002, 2. The report continues: “Several trends are worth noting....[T]he vast majority of Health Care spend- ing, as much as 95 percent by some estimates, is directed toward medical care and biomedical research. However, there is strong evidence that behavior and environment are responsible for over 70 percent of avoidable mortality, and Health Care is just one of several determinants of health.” 110. For a history of the PHSCC, go to www.usphs.gov/html/history.html. 111. GAO, “Federal Personnel: Issues on the Need for the Public Health Service’s Commissioned Corps,”GAO/GGD-96-55 (Washington, D.C.: Author, May 1996). 112. AHRQ is funded through Public Health Service evaluation funds, which are included in other agency budgets. The Federal Budget therefore does not show any net new budget authority for AHRQ. Pamela Smith, “Public Health Service (PHS) Agencies: Background and Funding,”RL34098 (Washing- ton, D.C.: Congressional Research Service, July 23, 2007), 5. 113. The CDC’s Director also serves as the Administrator of HHS’s Agency for Toxic Substances and Disease Registry (ATSDR), which focuses on environmental health–related issues. 114. Perinatal: at the time of birth. 115. Centers for Disease Control and Prevention,“Budget Request Summary, FY 2007,” February 2006. 116. CRS, “Food Safety Issues in the 109th Congress,”February 4, 2005, 2. 117. FDA, “The Food and Drug Administration Celebrates 100 Years of Service to the Nation,”Jan- uary 4, 2006, www.FDA.gov. 118. FDA, “FDA Overview: Protecting Consumers, Promoting Public Health,” slides 1–2, www.FDA.gov. 119. Geoffrey Becker and Donna Porter, “The Federal Food Safety System: A Primer,” RS22600 (Washington, D.C.: Congressional Research Service, June 18, 2007), 2. 120. For more background, see http://www.fda.gov/fdac/features/2002/602_squad.html. 121. Becker and Porter, “The Federal Food Safety System: A Primer,”3. 122. See the Prescription Drug User Fee Act of 1992. 123. “Generic Drugs Hit Backlog At FDA: No Plans to Expand Review Capabilities,” Washington Post, February 4, 2006, A01. 124. GAO, “Drug Safety: Improvement Needed in FDA’s Postmarket Decision-making and Over- sight Process,”March 2006. 125. Duke University, Fuqua School of Business, “Study Examines Pharmaceutical Spending on Post- Approval Drug Safety,”March 7, 2006. See also ConsumersUnion.org, “Health, Consumer Groups Urge Congress to Put Prescription Drug, Medical Product Safety on Its Priority Agenda for Year,” February 15, 2006. 126. “New Drug Label Rule is Intended to Reduce Medical Errors,” New York Times, January 19, 2006. 127. Barnaby Feder, “FDA Imposes Long-Delayed Rule to Require Tracking of Prescription Drugs,” New York Times, June 10, 2006. 128. CRS, “Food Safety Issues in the 109th Congress,”5. 129. GovExec.Com, “Food Safety Advocates Recommend Overhauling Inspection System,” March 30, 2004. 130. CRS, “Food Safety Issues in the 109th Congress,”6. 131. CRS, “Food Safety Issues in the 109th Congress,”11. 03_6part.qxp 11/20/07 10:27 AM Page 231

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132. The Department of Transportation/National Highway Traffic Safety Administration has juris- diction over cars, trucks and motorcycles; FDA has jurisdiction over food, drugs, cosmetics, and med- ical devices; the Bureau of Alcohol, Tobacco and Firearms has jurisdiction over those items; EPA has jurisdiction over pesticides; and the Coast Guard has jurisdiction over boat safety. See http://www .cpsc.gov/Federal.html. 133. CPSC, “2007 Performance Budget Request,” February 2006, iii; Statement of the Honorable Thomas H. Moore, Commissioner, on the FY 2006 CPSC appropriations request, http://www.cpsc.gov /pr/app2006stm.pdf. 134. GAO, “High Risk Series: An Update,”January 2007; GovExec.com, “Food safety advocates rec- ommend overhauling inspection system,”March 30, 2004. 135. National Association of Community Health Centers, “History of Community Health Centers,” www.nachc.com/about/aboutcenters.asp. 136. Source: National Association of Community Health Centers, www.nachc.com. 137. GAO, “Medicaid Payment for FQHCs and RHCs,”June 2005, 7. 138. National Association of Community Health Centers and the George Washington University, A Nation’s Health at Risk III: Growing Uninsured, Budget Cutbacks Challenge President’s Initiative to Put a Health Center in Every Poor County (Washington, D.C.: Authors, March 2005), 1. 139. National Association of Community Health Centers, “History of Community Health Centers,” www.nachc.com/about/aboutcenters.asp. See also “Results from the Patient Experience Evaluation Report System,”http://www.nachc.com/press/files/PEERSreport-finaldraft0226.pdf. 140. Speech on January 27, 2005, Cleveland, Ohio, www.whitehouse.gov. 141. National Association of Community Health Centers and the George Washington University, A Nation’s Health at Risk III, 1. 142. Kaiser Daily Health Policy Report, March 2, 2006, www.kaisernetwork.org. 143. The Rural Health Clinic Services Act of 1977, P.L. 95-210. 144. However, in 2005 the HHS Inspector General found that “279 RHCs are located in areas that HRSA has not designated as shortage areas or that Census has designated as urbanized areas.” 145. See www.aapa.org/gandp/rhc.html. 146. AIDS Drug Assistance Program (ADAP). See www.sfaf.org/policy/adap/. 147. CRS, “AIDS: Ryan White CARE Act,”October 26, 2005, 1. 148. Centers for Disease Control and Prevention, “HIV/AIDS Surveillance Report,”2003, vol. 15: 12. 149. Judith Johnson, “AIDS Funding for Federal Government Programs,” RL30731 (Washington, D.C.: Congressional Research Service, March 8, 2007), 1. 150. Johnson, “AIDS Funding for Federal Government Programs,”17. See also Tiaji Salaam-Blyther, “HIV/AIDS International Programs: Appropriations, FY2003-FY2006,” RS21181 (Washington, D.C.: Congressional Research Service, January 3, 2006); Tiaji Salaam-Blyther, “The Global Fund to Fight AIDS, Tuberculosis, and Malaria: Progress Report and Issues for Congress,”RL33396 (Washington, D.C.: Con- gressional Research Service, June 11, 2007). For an analysis of the effectiveness of U.S. international expenditures on HIV/AIDS, see “Botswana’s Gains against AIDS Put U.S. Claims to Test,” Washington Post, July 1, 2005, A01. 151. CRS, “AIDS in Africa,”March 9, 2006. 152. CRS, “AIDS Orphans and Vulnerable Children: Problems Responses, and Issues for Congress,” October 26, 2005. 153. The Kaiser Family Foundation, “Trends in U.S. Government Funding for HIV/AIDS—FY s 1981 to 2004,”p. 1. 154. Smith, “Public Health Service Agencies.” 155. Association of Maternal and Child Health Programs, www.amchp.org. 156. See http://nhsc.bhpr.hrsa.gov/about/. 03_6part.qxp 11/20/07 10:27 AM Page 232

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157. The NHSC is headquartered at the Health Resources and Services Administration (HRSA)— the agency within the Department of Health and Human Services that focuses on access to health care for the poor, uninsured, and geographically isolated. 158. See http://nhsc.bhpr.hrsa.gov/publications/factsheets.asp. 159. Urban Institute, “A National Roundtable on the Indian Health System and Medicaid Reform,” August 31, 2005, 2. 160. Smith,“Public Health Service Agencies,”24; and Urban Institute,“A National Roundtable,”14–15. 161. Indian Health Service, “A Quick Look,”January 2006. 162. Urban Institute, “A National Roundtable,”7. 163. Urban Institute, “A National Roundtable,”8. 164. “Life and Labor in Indian Country,” Congressional Quarterly Weekly, January 30, 2006, 265. 165. Smith, “Public Health Service Agencies,”28. 166. The coalition is known as the “Ad Hoc Group for Medical Research Funding.” See http://www.aamc.org/research/adhocgp/news.htm. 167. Although in inflation-adjusted dollars, it was short of the doubling. 168. Joseph Loscalzo, “The NIH Budget and the Future of Biomedical Research,” New England Jour- nal of Medicine, April 20, 2006. 169. In addition to scientific peer review, grant proposals are also subject to a second review by “inde- pendent advisory councils.”“NIH FY 2007 Performance Budget Overview,” February 2, 2006, 2, http://officeofbudget.od.nih.gov/ui/2007Budget.htm.. 170. Smith, “Public Health Service Agencies,”37. 171. National Institutes of Health, “Summary of the FY 2007 President’s Budget,”6, http://officeof- budget.od.nih.gov/pdf/Press%20info%20final.pdf. 172. See http://grants.nih.gov/grants/partners/0106Nexus.htm for general information on NIH extra- mural grants. 173. Pamela Smith, “NIH: Organization, Funding, and Congressional Issues,” RL33695 (Washing- ton, D.C.: Congressional Research Service, December 19, 2006), 18. 174. The President’s New Freedom Commission on Mental Health, “Achieving the Promise: Trans- forming Mental Health Care in America,” July 2003, http://www.mentalhealthcommission.gov /reports/FinalReport/downloads/FinalReport.pdf. 175. The Campaign for Mental Health Reform, “Background Materials,” Fall 2005 (uncredited author: Charles S. Konigsberg). 176. See NAMI, “Grading the States,” 2006, http://www.nami.org/content/navigationmenu/grad- ing_the_states/project_overview/overview.htm. 177. See “Appropriations Recommendations,” Mental Health Liaison Group, http://www.mhlg.org /appropfy2008.pdf. 178. The Garrett Lee Smith Memorial Act of 2004 (P.L. 108-355)—named for the son of Senator Gordon Smith (R-Oreg.), who suffered the tragic loss of his son to mental illness. 179. See, for example, Greg Gordon, “U.S. Unprepared for Nuclear Terror Attack, Experts Say,” McClatchy Newspapers, March 1, 2007; and Eric Lipton, “Bid to Stockpile Bioterror Drugs Stymied by Setbacks,” New York Times, September 18, 2006. 180. Frank Gottron, “Project BioShield: Appropriations, Acquisitions, and Policy Implementation Issues for Congress,”RL33907 (Washington, D.C.: Congressional Research Service, June 11, 2007). 181. P.L. 109-417. 182. §102, Pandemic and All-Hazards Preparedness Act, P.L. 109-417. 183. See the assessment of the Katrina response in chapter 3-2. 184. Ira Helfand, “The U.S. and Nuclear Terrorism: Still Dangerously Unprepared,”press conference, Physicians for Social Responsibility, August 31, 2006, Washington, D.C., http://www.psr.org/site /DocServer/Good_PSR_Nuclear_Terrorism_News_Release_Printing.doc?docID=801. 03_7part.qxp 11/20/07 10:23 AM Page 233

CHAPTER 3-7

Education and Children’s Programs

n FY 2007, Federal spending for education totaled $71 billion, or 2.4% of the Federal Bud- Iget. Education programs include elementary and secondary education grants, higher edu- cation grants and loan assistance, and vocational and adult education. Children’s programs for FY 2007 were funded at $42 billion and include child nutrition, the Women, Infants, and Children (WIC) food program, foster care and adoption assistance, Head Start, child care, and child support enforcement.

Head Start

FY 2007 Spending for Head Start: $6.9 billion

See www.GovBudget.com for updated numbers.

In a Nutshell Head Start provides grants to local organizations to operate early childhood development pro- grams for more than 900,000 children from low-income families per year. Services include child development, education, health, nutrition, and social activities. Programs are either full- day or half-day programs. About half of eligible four-year-olds are enrolled, and a third of eli- gible three-year-olds. Early Head Start covers children from birth to age three, but enrollment is very low due to lack of funds. The Department of Health and Human Services provides funds direct to local grantee organizations (rather than through States), and the funds are allocated based on the number of children below the poverty line in each State.1 Funding has grown rapidly, tripling from 1990 to 1999, and has reached nearly $7 billion.

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234 UNLOCKING THE MYSTERIES OF THE FEDERAL BUDGET

FIGURE 3-7.1 Children’s Programs and Education Programs in FY 2007

FY 2007 Children’s Programs FY 2007 Education Programs (billions of $) (billions of $)

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Background Head Start is one of the largest Federal early childhood programs, established in 1965 as part of the Johnson Administration’s War on Poverty. Many studies have demonstrated the critical role of high-quality, early education in child development and success in kindergarten and beyond. Head Start–funded programs serve nearly 1 million low-income children every year—more than 23 million since the program’s inception.2 Head Start is unique in its funding design: it provides grants directly to local organizations rather than to States. Local grantees deliver preschool education and other early childhood developmental services to poor children and their families. In addition to preschool educa- tion, Head Start services include health screenings, immunizations, assistance in accessing health services, dental care, psychological services, nutritional services, and social activities intended to promote healthy child development. Head Start grantees generally operate their programs during the school year.3 Head Start grantees include over 1,600 local organizations including community agen- cies, school systems, for-profit and nonprofit organizations, other government agencies, and tribal governments or associations. The grantees operate nearly 19,000 Head Start centers in all 50 States and D.C.4 Head Start grantees must match their Federal grants with 20% of their own resources—which can include in-kind contributions, local or State funds, or donations. The grant program is administered by the Administration for Children and Families (ACF) at the Department of Health and Human Services (HHS).5 The program was originally aimed at three- to five-year-olds. In 1994, the program was expanded to serve children from birth to age three (and pregnant women) through Early Head Start (EHS). The law requires that a portion of Head Start’s funds be set aside for EHS. About half of the EHS slots are in center-based programs; the other half are home-based. In 03_7part.qxp 11/20/07 10:23 AM Page 235

EDUCATION AND CHILDREN’S PROGRAMS 235

2002, an HHS study found that two-year-old children with at least one year of EHS performed better on measures of cognitive, language, and emotional development.6 In order to target Head Start to children most in need, Federal regulations require that at least 90% of the children enrolled in Head Start come from families with incomes at or below the Federal Poverty Level (FPL) or from families receiving public assistance or families caring for a foster child.7 In addition, at least 10% of the slots must be reserved for children with dis- abilities. In 2004, about 28% of children enrolled in Head Start were from homes where Eng- lish was not the primary language.8 More than one-third of eligible low-income three-year-olds are served by Head Start, and more than half of eligible 4-year-olds are served. However, despite the views of many experts that the first three years are critical to child development—and profoundly impact later life— less than 1 in 30 eligible low-income children under age three are served by Early Head Start, due to limited funding (see table 3-7.1). This is a reflection of how near-sighted the budget process can be—looking only at the sub- sequent year’s budget, rather than the long-term impact of budget investments. An additional $3 billion invested annually in early childhood development to cover all eligible children might avoid tens of billions in expenditures down the road for remedial education, public health and welfare expenditures, foregone income taxes, and—in the worst case—incarcerations. The les- son here is that some Federal expenditures should be treated as investments in the future. To focus only on the next fiscal year is, according to the old adage, penny-wise and pound-foolish. Evidence of the long-term benefits of early childhood development programs has been reported in the Chicago Longitudinal Study, which found that participants in Chicago’s Child- Parent Centers program were more likely to finish high school, less likely to be charged in juvenile court, and less likely to repeat a grade. The study calculated a “return to society” of more than $7 for every dollar invested in the program.10

Issues Controversial issues regarding Head Start include proposals by the Administration to redi- rect Head Start funds from local grantees to State agencies (to facilitate coordination with preschool, child care, and other State programs); to allow grantees to discriminate in hiring on the basis of religion (to encourage faith-based organizations to become grantees); and to transfer the program to the Department of Education.11

TABLE 3-7.1 Head Start Eligibility and Participation General Eligible Children FY 2005 Percent Age Population (i.e., below Poverty Line) Enrollment Receiving Services Under 3 12.3 million 2.9 million 91,000 3 % Age 3 4.0 million 871,000 308,000 35 % Age 4 4.1 million 927,000 472,000 51 %

Source: Congressional Research Service.9 03_7part.qxp 11/20/07 10:23 AM Page 236

236 UNLOCKING THE MYSTERIES OF THE FEDERAL BUDGET

Child Care

FY 2007 Spending on Child Care: $5.0 billion

See www.GovBudget.com for updated numbers.

In a Nutshell The Federal Government’s principal source of funding dedicated to child care subsidies for low-income families is the $5 billion Child Care and Development Fund (CCDF). The 1996 welfare reform legislation12 was the catalyst for boosting child care funding because of the expectation that new work requirements would increase the need for child care services. CCDF, which subsidizes child care for children under age 13, consists of two parts: (1) manda- tory funding to States (funded at $2.9 billion in FY 2007) and (2) discretionary grants to States (funded at $2.1 billion in FY 2007). (Additionally, States are permitted to use up to 30% of their TANF13 block grant for child care subsidies.) States are given broad authority to design their respective child care subsidy programs. Recent estimates are that 1.8 million children per year receive child care subsidies funded by CCDF. 14

Background This unusual funding arrangement, illustrated in figure 3-7.1 resulted from combining a num- ber of predecessor programs that fell within multiple congressional committee jurisdictions. The mandatory funding stream (i.e., funding that flows directly from authorizing legislation without Appropriations Committee action) is the result of combining three predecessor programs under the jurisdiction of the Senate Finance and House Ways and Means Committees: (1) the AFDC Child Care program (Aid to Families with Dependent Children was the old “welfare” program), (2) the Transitional Child Care Program, and (3) the At-Risk Child Care program. A portion of these funds is guaranteed to States based on amounts received under the three pre–welfare reform pro- grams; additional matching Federal funds from the mandatory stream are tied to States maintain- ing pre–welfare spending levels on child care (referred to as a State’s “maintenance of effort.”)15 The discretionary (annually appropriated) funding stream of CCDF, called the Child Care and Development Block Grant (CCDBG), was first authorized by legislation originating in the Senate Health, Education, Labor, and Pensions (HELP) Committee and the House Edu- cation and Workforce Committee in 1990. These funds support child care on a sliding fee scale for children under age 13 whose family income does not exceed 85% of State median income. Funds are allocated to States based on a formula intended to reflect the number of low-income children and the State’s per capita income.16 Research has shown that child care is a key factor in staying employed.17 Consequently, in addi- tion to CCDF funds, States are permitted to use Temporary Assistance for Needy Families (TANF) funds and Social Services Block Grant (SSBG) funds to supplement their Federal CCDF dollars.18

Issue: Funding for Child Care—How Much Is Needed? Total child care funding—including TANF funds and State funds—tripled after the enactment of welfare reform increasing from about $3 billion in FY 1996 to over $9 billion by FY 2000. Since 03_7part.qxp 11/20/07 10:23 AM Page 237

EDUCATION AND CHILDREN’S PROGRAMS 237

FIGURE 3-7.2 1996, Welfare Reform Combined 4 Child Care Programs into the Child Care and Development Fund (CCDF)

AFDC Child Care: Free Child care for AFDC recipients. Guaranteed care limited to children under 13.

Transitional Child Care: 12 months of Mandatory Funds entitlement for families needing subsidized ($2.9 billion in FY ’07) child care to accept/retain job and no Committee Jurisdiction longer on AFDC due to income level. - House Ways & Means - Senate Finance At-Risk Child Care: Child care for low-income families not on AFDC but at risk of being eligible without subsidized care.

CCDBG of 1990: Child care subsidized on a Discretionary Funds sliding fee scale for children under age 13 ($2.1 billion in FY ’07) (with exceptions) whose working family Committee Jurisdiction income does not exceed 75% of State - House Education & Workforce Median Income. - Senate HELP Committee

2002, however, Federal child care funding has increased only marginally—not enough to keep pace with inflation.19 This has triggered an intense debate about whether enough funds are being allocated to realistically enable people to “move from welfare to work.” For example, GAO reported to Congress in 2003 that “half of the states do not provide child care assistance to all the families who apply and are eligible for such assistance under the states’ eligibility policies.”20

Child Nutrition and WIC

FY 2007 Spending for Child Nutrition and WIC: $18.4 billion

See www.GovBudget.com for updated numbers.

In the long view, no nation is any healthier than its children or more prosperous than its farm- ers; and in the National School Lunch Act, the Congress has contributed immeasurably both to the welfare of our farmers and the health of our children.—Harry S. Truman, June 4, 194621

In a Nutshell Federal Child Nutrition programs and the Women, Infants, and Children (program) pro- vide nutritional support for 39 million low-income children and 2 million low-income women. Child nutrition programs include School Lunch, School Breakfast, Special Milk, Summer Food Service, and Child Care Food programs—at a cost of $13.2 billion in FY 2007. 03_7part.qxp 11/20/07 10:23 AM Page 238

238 UNLOCKING THE MYSTERIES OF THE FEDERAL BUDGET

The WIC program is spending $5.2 billion in FY 2007 providing low-income, pregnant and postpartum women, infants, and children with vouchers for food packages, nutrition edu- cation, and health and immunization referrals. Child nutrition programs are entitlements: federal funding and food commodities are guaranteed to schools and other local providers based on the number of subsidized or free meals, snacks, or amount of milk served to poor children, infants, and mothers. By contrast, WIC is a discretionary spending program.

Background The National School Lunch Program (NSLP) began in 1946, with the School Breakfast Pro- gram (SBP) following in 1966. Both programs provide free or low-cost meals to low-income children (although any child at a participating school may purchase an NSLP lunch). In order to participate, school meals must meet the USDA’s nutritional standards. The USDA reim- burses States based on the number of meals purchased. The Child and Adult Care Food Program (CACFP) subsidizes meals and snacks served by child care centers (typically, 30–50 children) and day care homes (typically, 4–6 children). Each day nearly 3 million children receive meals and snacks through CACFP. (The program also serves 86,000 adults at adult day care centers.) The Special Milk program operates in schools and other locations without a lunch pro- gram and subsidizes all milk served. For many low-income children, the only nutritious meal they receive all day is their school lunch from NSLP.Recognizing the need to continue providing children with nutritious meals during the summer, in 1969 Congress established the Summer Food Service Program (SFSP). Over 115 million SFSP meals are served each summer by schools, public agencies, and pri- vate nonprofit organizations such as recreation centers. The Special Supplemental Food Program for Women, Infants, and Children (WIC) serves about 7.9 million persons per month. WIC provides nutrition services, cash, com- modities, food vouchers, and other assistance to low-income pregnant and postpartum women, as well as infants and children considered to be at nutritional risk. Unlike the lunch programs where school agencies play a large role on the local level, WIC is administered by local health agencies. Similar to NSLP and SBP, the goal of WIC is to prevent developmental problems in infants by providing nutritious meals that meet USDA standards. The nutrition programs are funded by the Department of Agriculture and are operated— with State oversight—by 300,000 local providers including schools, child care centers, and health clinics. Most subsidies are cash payments, but about 10% is in the form of federally donated food.22

WHY AREN’T SCHOOL LUNCHES HEALTHIER? In 2003, GAO reported to Congress that school lunches were not meeting the required 30% limit for calories from fat. GAO found that “barriers to providing nutritious meals and encouraging healthy eating included budget pressures and competing time demands....[O]fficials said that when they introduce healthier foods, they take the risk that students will buy fewer school lunches resulting in a loss of needed revenue.... Also, schools paid for special activities or other items not covered in the school’s bud- get with profits from vending machines and snack bar sales.” 23 03_7part.qxp 11/20/07 10:23 AM Page 239

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The Child Welfare System: Foster Care and Adoption Assistance

FY 2007 Spending for Foster Care and Adoption Assistance: $6.9 billion

See www.GovBudget.com for updated numbers.

On any given day in the United States, half a million children and youth are in foster care, removed from their homes because of abuse or neglect....While in care, many chil- dren do not receive appropriate services, whether they are infants suffering the effects of trauma or older adolescents about to leave foster care to live on their own. —The Pew Commission on Children in Foster Care24

In a Nutshell States have primary responsibility for administering child welfare services; however, the Fed- eral government plays a significant role by providing funds to States for Foster Care and Adop- tion Assistance programs and conditioning those funds on meeting certain requirements. The Foster Care program provides matching grants to States for the costs of providing foster care for children removed from low-income homes because of neglect or abuse.25 Adoption Assis- tance helps parents who adopt low-income children with special needs.

Background Foster Care and Adoption Assistance, while generally referred to collectively, are actually two separate programs. The Foster Care program is an entitlement program that provides match- ing payments to States for the costs associated with placing low-income children in foster care. Of the $6.9 billion cited earlier, nearly $5 billion was spent in 2007 for foster care entitlement payments to the States. The Department of Health and Human Services (HHS) estimates that in 2008, an average of 211,000 low-income children per month will be placed in Foster Care. Similar to Medicaid, the Foster Care program is an “open-ended entitlement,” which means that any qualifying State expenditure will be partially reimbursed, or “matched,” without limit. In order for States to receive Federal Foster Care funds, the removal and foster care place- ment must be for a low-income26 child based on a voluntary agreement signed by the child’s parents, or there must be a judicial determination that remaining in the home would be con- trary to the child’s welfare (due to neglect or abuse). In addition, there must be reasonable efforts to eliminate the conditions that led to the child’s removal to foster care and to facili- tate the child returning home. Based on these criteria, States receive Federal payments for roughly half of the children placed in foster homes.27 The amount of Federal foster care matching payments varies among the States; payments are determined using the Medicaid matching rate, which, as explained in chapter 3-6, can range from 50% to 76%. The Federal Adoption Assistance Program, an entitlement spending $2 billion in FY 2007, supports monthly subsidies for families adopting eligible low-income children28 with special needs. HHS estimates that in 2008 an average of 427,000 children per month will be supported with Federal subsidies. Similar to the Foster Care program, the Adoption Assis- tance program is an entitlement program that provides matching payments to States—in this 03_7part.qxp 11/20/07 10:23 AM Page 240

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case, for assistance payments for qualified children who are adopted, as well as for adminis- trative expenses and training of adoption professionals. Adopted low-income children with special needs are also eligible for Medicaid (see chapter 3-6 for an explanation of Medicaid). A related program is the John H. Chafee Foster Care Independence Program (formerly called Independent Living). This $140 million per year program is aimed at assisting youths ages 16–21 in making the transition from foster care to independent living. States are entitled to a portion of the $140 million based on their share of the nation’s foster care population.

Elementary and Secondary Education and the No Child Left Behind Act

FY 2007 Outlays for Elementary and Secondary Education: $23.2 billion

See www.GovBudget.com for updated numbers.

Our progress as a nation can be no swifter than our progress in education. Our require- ments for world leadership, our hopes for economic growth, and the demands of citi- zenship itself in an area such as this all require the maximum development of every young American’s capacity. The human mind is our fundamental resource.—President John F. Kennedy, 196129

In a Nutshell While the vast majority (91%) of public school education in the United States is funded at the State and local levels, the Department of Education funds programs that support America’s schools and students in a variety of ways, including funding to improve the achievement of economically disadvantaged students, as well as funding for reading programs, school improvement projects, drug abuse prevention, after-school programs, English language instruction, professional devel- opment of teachers, expansion of charter schools, education of Native Americans, education of migrant children, and Impact Aid (see figure 3-7.2).30 More recently, with the enactment of the No Child Left Behind Act (NCLBA) in 2001, Federal education funding is being used to leverage significant—and controversial—changes in how public elementary and secondary schools edu- cate our children. This degree of Federal involvement in local schools is unprecedented.

Background Federal elementary and secondary education programs are authorized by the Elementary and Secondary Education Act (ESEA), which was initially signed into law in 1965 and, most recently, was amended by the No Child Left Behind Act (NCLBA) of 2001. Title I of the ESEA authorizes Federal aid for the education of disadvantaged students. “Title I grants,” as they are generally referred to, amounted to $14.5 billion in FY 2007 with services provided to more than half of all public schools and one-third of all students; ser- vices are concentrated in prekindergarten through grade 6.31 The grants are provided for

• Supplemental education funding for students and schools in high poverty areas; • Assistance to schools in meeting the requirements of the NCLBA; 03_7part.qxp 11/20/07 10:23 AM Page 241

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FIGURE 3-7.3 Elementary and Secondary Education Programs (in billions of dollars)

Impact Aid Innovation & 1.2 Innovation & Improvement Improvement , 0.8 English 0.8 Language Acquisition 0.7

School Improvement Education for 5.3 the Disadvantaged "Title I Grants" 14.5

THE NO CHILD LEFT BEHIND ACT (NCLBA) NCLBA dramatically increased Federal involvement in education by making Federal funding to the States contingent on acceptance of strict Federal regulations. NCLBA set a goal of bringing all students to a proficient level of achievement in reading, math, and science by the end of the 2014 school year. The Act relies heavily on testing in order to measure student proficiency and judge improvement from year to year. Under the NCLBA, States are required to test students in math and reading in each of grades 3 through 8, and at three grade levels in science by the end of the 2008 school year. In addition, a National Assessment of Educational Progress test must be administered to fourth and eighth graders in alternate years. Much of the intense debate surrounding the efficacy of NCLBA is a result of its Adequate Yearly Progress (AYP) determinations. In order to meet the larger goal of read- ing, math, and science proficiency by 2014, NCLBA requires States to set AYP testing goals for each school. Failure to meet these AYP goals for consecutive years results in a series of consequences for schools receiving Title I funds. After two years of failure, a school is designated as needing improvement, and its students are offered the choice of switching to another local school the following year. After three years, students from low-income families are offered the opportunity to receive private tutoring to supple- ment their education. After four years of failure to meet AYP testing goals, corrective actions must be taken that can include replacing staff and management as well as devel- oping a new curriculum. Finally, after six years, a school must be restructured; options include “reopening as a charter school, replacing all or most school staff, [or a] state takeover of school operations.” 35 Teacher quality standards are another major requirement of NCLBA. The Act requires that all teachers at schools receiving Title I funds be “highly qualified,” mean- ing that they possess at least a bachelor’s degree and have passed a test demonstrating their subject-area proficiency and teaching skills. 03_7part.qxp 11/20/07 10:23 AM Page 242

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WHAT IS A CHARTER SCHOOL? Charter schools are public schools granted the flexibility to operate outside of typical State and local (and certain Federal) regulations. In return for this special autonomy, they agree to the terms of a multiyear “charter” or contract that holds them account- able for student outcomes. Forty States and the District of Columbia have laws allow- ing public charter schools, and as of 2004, 3,000 public charter schools nationwide educated more than 600,000 students.36 The Federal Government provides more than $200 million per year in public charter school grants.37 However, the efficacy of char- ter schools is a subject of intense and continuing debate.38

• Reading programs including Reading First and Early Reading First (which were funded at $1 billion and $118 million, respectively, in FY 2007);32 • School Library Grants; • the Even Start Family Literacy Program;33 • Programs for Children who are Neglected, Delinquent, or At-Risk;34 and, • Educational services for children of migratory farmworkers.

The next largest slice of ESEA funds is for school improvement programs, which received $5.3 billion in FY 2007. School improvement grants are aimed at supporting NCLBA testing, improving teacher quality, supporting community learning centers in high-poverty areas, enhancing education technology, promoting teaching skills for math and science, supporting rural schools with high concentrations of poor students, providing education for homeless children, and improving education for Native Americans. The Department of Education’s Office of Innovation and Improvement (with an FY 2007 budget of $841 million) funds a number of programs authorized by ESEA, including the recruitment and training of high-quality teachers, and the establishment of public char- ter schools and magnet schools. Other elementary and secondary education programs authorized by ESEA and funded by the Education Department include:

• The Safe and Drug-Free Schools program, which is the Federal government’s primary initiative to prevent drug abuse and violence in and around the nation’s public schools ($732 million in FY 2007); • Impact Aid, a $1.2 billion dollar program aimed at replacing lost revenue for school dis- tricts due to the presence of students who live on military bases or Indian lands (which are exempt from local property taxes); and • English Language acquisition services for immigrants students.

Issue: Effectiveness of No Child Left Behind No Child Left Behind has been highly controversial. Many educators, including the National Edu- cators Association (NEA), believe that NCLB “imposes invalid one-size-fits-all measures on stu- dents,”failing to leave room for creativity and teaching methods that work best for individual 03_7part.qxp 11/20/07 10:23 AM Page 243

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students.39 The NEA and other educators also feel that NCLB takes the “stick” approach too far (i.e., loss of Federal funds) and that a “carrot,”or rewards-based system, would better serve stu- dents.40 Others believe that the emphasis on narrow testing goals for reading, math, and science is providing students with a less well-rounded education. The Center on Education Policy reports that “71% of districts reported reducing instructional time in elementary schools for one or more subjects in order to make more time for reading and/or math.”41 The overwhelming concern is that schools are “teaching to the test” rather than focusing on a well-rounded education. Others argue that NCLB’s shortcomings are due, in some degree, to inadequate funding. NCLB funds have been appropriated at several billion dollars below their authorized levels. Some, including Senator Edward Kennedy (D-Mass.), who played a key role in creating NCLB, argue that the original intent was to fund NCLB up to the authorization levels (although, as explained in Part II of this book, it is not at all unusual for Congress to appropriate below a program’s authorized levels; it is risky to assume full funding of any program unless the fund- ing is made “mandatory”—i.e., not subject to annual appropriations decisions).42

Special Education and the Individuals with Disabilities Education Act (IDEA)

FY 2007 Federal Spending on IDEA: $11.8 billion

This Nation has long embraced a philosophy that the right to a free appropriate public edu- cation is basic to equal opportunity and is vital to secure the future and prosperity of our peo- ple. It is contradictory to that philosophy when that right is not assured equally to all groups of people with the Nation.—U.S. Senate Report (1975)43

In a Nutshell The Individuals with Disabilities Education Act (IDEA) is both a civil rights law and a funding authorization. As a rights law, the IDEA has required since 1975 that children with disabilities be provided with special education services so they can benefit from a “free appropriate public education” (FAPE).44 As a funding law, the IDEA authorizes Federal grants to defray part of the costs incurred by States in meeting the FAPE requirement. IDEA’s guaranteed services include early intervention for infants and toddlers, preschool services, and special education up to age 21. The IDEA authorizes Federal grants to States to cover up to 40% of State costs incurred in pro- viding special education services, although Congress has never appropriated more than 18% of special education costs incurred by the States. For the 2006–2007 school year, 6.8 million chil- dren received IDEA-funded services at an average federal cost of $1,551 per student.45

Background At a time when our society is recognizing an escalating number of children with develop- mental delays, autism spectrum disorders, learning disabilities, physical disabilities, and other disabilities that pose challenges for children, parents, and their public school educators, the IDEA is increasingly important. 03_7part.qxp 11/20/07 10:23 AM Page 244

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The IDEA requires the provision of a “free appropriate public education” for children with disabilities as a prerequisite for States to receive Federal education funds. In order to implement the general principle of a free appropriate public education, the IDEA requires that each child with a disability must be provided an Individualized Education Program (IEP), developed in consultation with the child’s parents, aimed at ensuring that each child is edu- cated with their nondisabled peers “to the maximum extent appropriate.” Recognizing the inability of State and local governments to fully fund a free and appro- priate public education for all children with disabilities, the IDEA authorized the Federal gov- ernment to fund 40% of each State’s additional costs for educating children with disabilities. The Federal grants are used by States and school districts for early intervention services for infants and toddlers, grants for preschool services, and special education services for children and youth up to age 21. If public schools are unable to provide appropriate services, school authorities may pay for tuition to place a child in a private school in order to fulfill the FAPE obligation. Alterna- tively, if parents decide unilaterally to place their child in private school, the IDEA requires that certain services be provided; and, in certain cases, courts may order that school districts cover the services.46 Despite the intent of the IDEA that the Federal government cover 40% of States’ special education costs, annual grants to States have never come close to the authorized level. For exam- ple, recent Federal IDEA funding has covered less than 18% of States’ special education costs. In FY 2007, this amounted to $10.8 billion.47 The “underfunding” of the IDEA—as compared with the 40% funding goal—has been a source of continuing concern among State governments, educators, parents, and special education advocates. Concerns about under-funding led to enactment in 2004 of amendments to the IDEA48 that set authorized funding levels for each year through FY 2011 designed to build up to the IDEA’s 40% funding goal. However, as explained in chapter 2-2, the Appropriations Com- mittees of Congress are not required—and often do not—fund programs up to their autho- rized amounts. As table 3-7.2 illustrates, while IDEA grants to States increased dramatically between 1995 and 2005—growing from 7.8% of State special education costs to 18.5%—Fed- eral IDEA funding is now declining as a percentage of State costs and never went half way to the promised 40 percent level. From a budgetary perspective, this highlights the lesson that grandiose statements made when authorization bills are enacted and signed into law need to be examined with a critical eye; it’s the actual appropriation of funds that matter.

Higher Education

FY 2007 Federal Spending on Higher Education: $29.3 billion

See www.GovBudget.com for updated numbers.

This act has many provisions, but it has only one purpose: to nourish human potential today, so that our Nation can realize its rich promise tomorrow.—President Lyndon B. Johnson on signing the Higher Education Act of 196551 03_7part.qxp 11/20/07 10:23 AM Page 245

EDUCATION AND CHILDREN’S PROGRAMS 245

TABLE 3-7.2 Underfunding of IDEA Grants to States (in billions of dollars)49 Federal Grants as IDEA Part B Percentage of Fiscal State Grant State Special Year Program50 Ed. Costs* 1995 $2.3 7.8 % 1996 $2.3 7.3 % 1997 $3.1 9.2 % 1998 $3.8 10. 5% 1999 $4.3 11.1 % 2000 $5.0 12.0 % 2001 $6.3 14.1 % 2002 $7.5 15.5 % 2003 $8.9 17.1 % 2004 $10.1 18.4 % 2005 $10.6 18.5 % 2006 $10.6 17.7 % 2007 $10.8 17.2 % *Note that Federal spending for IDEA has never been close to the authorized contribution level of 40%.

In a Nutshell The Higher Education of Act of 1965 authorizes Federal aid to support postsecondary edu- cation. The largest student aid program, in terms of Federal spending, is the Pell Grant pro- gram, serving more than five million undergraduates at a cost of nearly $14 billion per year. The largest volume of student aid is generated by the Federal government’s two major stu- dent loan programs: the Federal Family Education Loan (FFEL), formerly known as Guar- anteed Student Loans, and the William D. Ford Direct Loan programs. Both programs are entitlement programs; that is, any student or parent of a student who qualifies can obtain specified loans, and both programs offer the same varieties of repayment terms on low-inter- est loans. The two programs differ only with respect to the source of the loan funds (private lenders and the Federal government, respectively). Together, the two loan programs are pro- jected to leverage student loan financing of $65 billion in FY 2007, with a Federal cost of about $11 billion. Additional student financial aid is provided under three older “campus-based” programs: the Federal Supplemental Educational Opportunity Grant (FSEOG), the Federal Work-Study program, and the Federal Perkins Loan program.52

Background and Issues GRANTS.—Pell Grants, the largest Federal college assistance program, are needs-based grants for undergraduate students.53 In FY 2007, more than five million undergraduates received grants of up to $4,310 to help pay for postsecondary education. (The maximum grant amount is set in the annual Labor-HHS-Education appropriations bill.) In total, the Federal govern- 03_7part.qxp 11/20/07 10:23 AM Page 246

246 UNLOCKING THE MYSTERIES OF THE FEDERAL BUDGET

Graduation at Kenyon Col- lege, Gambier, Ohio. Reprinted by Permission

ment spent nearly $14 billion on Pell Grants in FY 2007. The grants are disbursed by colleges and universities from funds provided by the Department of Education. Congress generally makes Pell Grant appropriations available for two years, so the Department can, in effect, bor- row from the next year to cover the current year’s Pell Grants; this is why these grants are sometimes viewed as a “quasi-entitlement,”although the program continues to be subject to annual appropriations decisions. Major issues under discussion are whether to convert the Pell Grant program to an entitlement program, whether the $4,310 cap on individual Pell Grants should be increased due to rapid increases in higher education costs,54 and whether academic merit should have a role in consideration of Pell Grant awards.55 It should be noted that con- verting Pell Grants to an entitlement would be politically very difficult since the estimated future costs of the program over the next 10 years would have to be offset by entitlement spending cuts or tax increases in order to comply with Congress’ PAYGO rules (explained in chapter 2-4). Federal Supplemental Educational Opportunity Grants (FSEOGs) are generally avail- able to Pell Grant recipients with exceptional financial need. SEOG grants range from $100 to $4000 in amount and were funded at $772 million in FY 2007. SEOG grants are referred to as a “campus-based program” because funds are allocated directly to colleges for award to students. Academic Competitiveness and SMART56 Grants are two new types of college assistance. Academic Competitiveness Grants (ACG) offer up to $750 for college freshmen and $1,300 for sophomores who took rigorous courses in high school, are enrolled full-time in college, and have maintained a 3.0 grade point average. Students must be eligible for a Pell Grant in order to receive an ACG. The SMART Grant provides up to $4,000 and is available to third- and fourth-year college students who are eligible for the Pell Grant. Students must have majored in one of the specified 03_7part.qxp 11/20/07 10:23 AM Page 247

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sciences, technology, math, or a language considered critical to national security and in high demand, while maintaining a 3.0 GPA.57 For FY 2007, the outlays were estimated to total $789 million for both new grant programs. LOANS.—The Federal Family Education Loan Program (FFELP), previously called Guaranteed Student Loans, is projected to leverage $52 billion in FY 2007 student loans by providing Federal guarantees to private lenders. The objective of the program is to pro- mote access to postsecondary education by making low-interest loans available to students from low- and middle-income families. Under FFELP,“private lenders fund the loans, and the government guarantees lenders a minimum yield and repayment if borrowers default. When the interest rate paid by borrowers is lower than the guaranteed minimum yield, the government pays lenders special allowance payments.”58 In addition, the Federal govern- ment has boosted the availability of capital by establishing a secondary purchase market for FFEL loans through Sallie Mae, the Student Loan Marketing Association. The budgeted Federal cost of the FFEL program for FY 2007 was $5.7 billion, which reflects fees to guar- antee agencies, special allowance payments, interest subsidies, and the cost of projected defaults. (See chapter 2-5 for an explanation of the Federal Credit Reform Act, which requires that certain sums be appropriated up front, when the government guarantees loans.)59 The William D. Ford Federal Direct Loan Program (FDLP) provides loan funds directly to postsecondary institutions, which originate the loans. The direct loans of $13 billion in FY 2007 are considered to be Federal expenditures in the year the funds are disbursed, but the net cost of the program also includes loan repayments from prior year loans. After including repayments, the net cost of the program in FY 2007 was $5.2 billion. The Direct Loan pro- gram was originally intended to phase in and gradually replace Guaranteed Student Loans (GSLs) as a more cost-efficient means of providing low-interest fixed rate loans to students. However, both programs—direct and guaranteed loans—have substantial support and con- sequently they are continuing to function as parallel programs. While the FFEL Guaranteed Loans and Direct Loan programs rely on different sources of capital (private capital and Federal funds, respectively), they nevertheless offer the same set of low-interest loan options to undergraduate and graduate students and parents of under- graduates: subsidized and unsubsidized “Stafford” loans for undergraduate and graduate stu- dents, and PLUS loans for parents of undergraduates. These loan options are summarized in table 3-7.3. Perkins Loans are low-interest Federal loans for college students with financial need. The FY 2007 cost is about $500 million. The interest rate is fixed at 5%, and no interest accrues before repayment begins. The aggregate amount an undergraduate can borrow is $20,000; for graduate and professional students, it is $40,000. Loans can be canceled, if the borrower works a period of time in public service. An undergraduate can borrow up to $4,000 per year. Grad- uate students and professionals can borrow up to $6,000 per year. Other Types of Student Aid.— Work-Study is known as a “campus-based” program because funds are awarded to postsecondary institutions, which use the funds to pay 75% of a student’s wages for part-time jobs. The $1 billion program assists nearly 900,000 under- graduate and graduate students each year and encourages community service–based job opportunities. 03_7part.qxp 11/20/07 10:23 AM Page 248

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TABLE 3-7.3 Types of Higher Education Low-Interest Loans Annual Amount Loan Type Source of Loan Capital Terms and Conditions Available Subsidized FFEL (GSLs) and Department of Education $3,500–$8,500 Stafford Direct Loans pays interest while borrower Loans is in school and during grace and deferment periods; student must be at least half-time and have financial need.

Unsubsidized FFEL (GSLs) and Borrower responsible for all $3,500–$20,500 Stafford Direct Loans interest; student must be at (less any Loans least half time; no showing subsidized of financial need required. amounts received)

PLUS Loans FFEL (GSLs) and For parents of dependent Maximum (Parent Direct Loans undergraduate students who amount is cost Loans for are enrolled at least half-time of attendance Undergraduate and for graduate and minus any other Students) professional students. financial aid Financial need not required. student receives. Borrower is responsible for all interest payments. Source: “Student Aid at a Glance,”www.FederalStudentAid.ed.gov/pubs, accessed August 26, 20007.

Notes

1. Funding is also allocated in part, based on historical funding rates. Melinda Gish, “Head Start: Background and Issues,”RL30952 (Washington, D.C.: Congressional Research Service, July 26, 2007), 5. 2. Center for Law and Social Policy, “Still Going Strong: Head Start Children, Families, Staff, and Programs in 2004,”November 2005, 1. 3. CRS, “Head Start: Background and Issues,”July 13, 2006. 4. Ron Haskins and Isabel Sawhill, “The Future of Head Start” (Washington, D.C.: Brookings Insti- tution, July 2003), 1. 5. GAO, “Head Start: Comprehensive Approach to Identifying and Addressing Risks Could Help Prevent Grantee Financial Management Weaknesses,”February 2005. 6. Center for Law and Social Policy, “From the Beginning: Early Head Start Children, Families, Staff, and Programs in 2004,” March 2006, 1 (citing a study by the Department of Health and Human Ser- vices, Making a Difference in the Lives of Infants and Toddlers and Their Families: The Impacts of Early Head Start (Washington, D.C.: 2002). 7. In 2004, “three quarters of Head Start children were eligible to participate because family income was below 100 percent of the poverty level at the time of program enrollment. An additional 18 per- 03_7part.qxp 11/20/07 10:23 AM Page 249

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cent were eligible based on enrollment in public assistance. Just 1 percent of children qualified for Head Start because of status as a foster child. Six percent ...lived in families earning above the Federal poverty line at the time of enrollment.” Center for Law and Social Policy, “Still Going Strong: Head Start Chil- dren, Families, Staff, and Programs in 2004,”November 2005, 1. 8. Center for Law and Social Policy, “Still Going Strong,”1. 9. Gish, “Head Start,”11. 10. Chicago Longitudinal Study: http://www.education.umn.edu/ICD/CLS/docs/Newsletter2 .pdf. 11. See Gish, “Head Start.” 12. Personal Responsibility and Work Opportunity Reconciliation Act of 1996. P.L. 104-93. 13. TANF, as noted later, is Temporary Assistance for Needy Families, which replaced Aid to Fami- lies with Dependent Children as part of the 1996 welfare overhaul. 14. Melinda Gish, “The Child Care and Development Block Grant: Background and Funding,” RL30785 (Washington, D.C.: Congressional Research Service, April 20, 2007), 1–6. 15. Melinda Gish: “Child Care: Funding and Spending under Federal Block Grants,”RL31274 (Wash- ington, D.C.: Congressional Research Service, March 19, 2002), 5. 16. Gish, “The Child Care and Development Block Grant,”1–6. 17. GAO, “Child Care: Child Care Subsidies Increase Likelihood That Low-income Mothers Will Work,”December 1994. 18. Gish: “Child Care,”9–11. 19. Gish, “The Child Care and Development Block Grant,”table 1. Note that the figure for FY 2007 consists of $1.986 billion in mandatory spending plus $956 million in advance appropriated discre- tionary spending. 20. GAO, “Child Care: Recent State Policy Changes Affecting the Availability of Assistance for Low- Income Families,”GAO-03-588 (Washington, D.C.: May 2003), 2. 21.Statement upon signing the National School Lunch Act. 22. Joe Richardson, “Child Nutrition and WIC Programs: Background and Recent Funding,” RL33307 (Washington, D.C.: Congressional Research Service, July 12, 2006). 23. GAO, “School Lunch Program: Efforts Needed to Improve Nutrition and Encourage Health Eat- ing,”GAO-03-506 (Washington, D.C.: May 2003). 24. The Pew Commission on Children in Foster Care, “Fostering the Future: Safety Permanence and Well-Being for Children in Foster Care,”May 2004, 7. 25. See Department of Health and Human Services, “Federal Foster Care Financing: How and Why the Current Funding Structure Fails to Meet the Needs of the Child Welfare Field” (Washington, D.C.: August 2005). 26. The determination of “low-income” for this purpose is based on the family’s eligibility for Aid to Families with Dependent Children (AFDC) as it existed prior to 1996 welfare reform. Committee on Ways and Means, U.S. House of Representatives, 2004 Green Book (Washington, D.C.: Government Printing Office, 2004), 11–18. 27. Committee on Ways and Means, Green Book, 11–19. 28. In this context, “low income” refers to SSI- or AFDC-eligible children (based on pre–welfare reform AFDC criteria). 29. Alex Ayres, ed., The Wit and Wisdom of John F. Kennedy (New York: Penguin Books, 1996), 57. 30. Impact Aid is compensation for school districts with diminished property tax revenues due to the presence of Federal lands or facilities within the school district. 31. Wayne Riddle, “Education for the Disadvantaged: Reauthorization Issues for ESEA Title I-A under the No Child Left Behind Act,” RL33731 (Washington, D.C.: Congressional Research Service, August 6, 2007), 1. 03_7part.qxp 11/20/07 10:23 AM Page 250

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32. Both Reading First and Early Reading First were authorized by the NCLBA. Under the Reading First program, schools with high percentages of low-income students receive grants to improve read- ing programs for students in grades K–3. Early Reading First provides competitive grants to reach chil- dren at younger ages. Gail McCallion, “Reading First and Early Reading First: Background and Funding,” RL31241 (Washington, D.C., Congressional Research Service, July 31, 2007). 33. The Even Start Family Literacy Program provides education services jointly to disadvantaged parents and their young children, with the objective of integrating early childhood education, adult basic education, and parenting skills. However, future funding is in doubt due to skepticism about the program’s efficacy. See Gail McCallion, “Even Start: Funding Controversy,”RL33071 (Washington, D.C.: Congressional Research Service, July 31, 2007). 34. Authorizes grants for the education of children and youth in state institutions for the neglected or delinquent. Wayne Riddle and Rebecca Skinner, “The Elementary and Secondary Education Act,”6. 35. W. Riddle et al., “K–12 Education: Highlights of the No Child Left Behind Act of 2001 (P.L.107- 110)” (Washington, D.C.: Congressional Research Service, RL31284, January 2006), 7. 36. Diana Jean Schemo, “Charter Schools Trail in Results, U.S. Data Reveals,” New York Times, August 17, 2004. 37. David P. Smole, “Funding for Public Charter School Facilities: Federal Policy under the ESEA,” RL31128 (Washington, D.C.: Congressional Research Service, February 8, 2006), 10. See also David P. Smole, “Public Charter School Accountability,” RL31184 (Washington, D.C.: Congressional Research Service, January 24, 2007); 38. Diana Jean Schemo, “Study of Test Scores Finds Charter Schools Lagging,” New York Times, August 23, 2006. 39. National Education Association, “No Child Left Behind Act/ESEA,” http://www.nea.org /esea/more.html. 40. National Education Association at http://www.nea.org/esea/more.html. 41. “From the Capital to the Classroom: Year 4 of the No Child Left Behind Act,”Center on Educa- tion Policy, March 2006,www.cep-dc.org/_data/global/nidocs/CEP-NCLB-Report-4.pdf. 42. Diana Jean Schemo, “Kennedy Demands Full Funding for School Bill,” New York Times, April 7, 2004. 43. S.Rep. No. 168, 94th Cong., 1st Sess., cited in Nancy Lee Jones, “The Individuals with Disabili- ties Education Act: Congressional Intent,” 95-669 A (Washington, D.C.: Congressional Research Ser- vice, May 19, 1995), 3. 44. 20 U.S.C. §1400 et seq. The IDEA was formerly referred to as the “Education for All Handicapped Children Act.”Jones, “The Individuals with Disabilities Education Act,”1. 45. Congressional Budget Office, Budget Options, February 2007, 130. 46. See Richard Apling and Nancy Lee Jones, “IDEA: Parentally Placed Children in Private Schools,” RL33368 (Washington, D.C.: Congressional Research Service, April 24, 2007). 47. Richard Apling and Ann Lordeman, “Individuals with Disabilities Education Act (IDEA): Cur- rent Funding Trends,”RL32085 (Washington, D.C.: Congressional Research Service, April 4, 2007). 48. P.L. 108-446. 49. Table is based on data in Richard Apling and Ann Lordeman, “Individuals with Disabilities Edu- cation Act (IDEA): Current Funding Trends,”RL32085 (Washington, D.C.: Congressional Research Ser- vice, April 4, 2007). 50. These figures do not include the preschool grants program (funded at $381 million in FY 2006), the infants and families State grants program (funded at $436 million in FY 2006), and national activ- ities such as information centers, technology and media services (funded at $253 million in FY 2006). Apling and Lordeman, “IDEA,”3. 03_7part.qxp 11/20/07 10:23 AM Page 251

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51. Statement by President Lyndon B. Johnson following Passage by the Senate of the Higher Edu- cation Bill on September 2, 1965. The Higher Education Act of 1965 was approved by the President on November 8, 1965. 52. For details on the campus-based programs see David Smole, “Campus-Based Student Financial Aid Programs under the Higher Education Act,”RL31618 (Washington, D.C.: Congressional Research Service, May 14, 2007). 53. In 2005–2006, approximately 79% of all Pell Grant recipients had incomes less than or equal to $30,000. However, there is no set income threshold that determines who is eligible for a Pell Grant. Eli- gibility is determined to a great extent on the “expected family contribution,”which can be affected by a number of factors, including family income, family size, number in college, the student’s dependency status, and assets. Charmaine Mercer, “Federal Pell Grant Program of the Higher Education Act: Back- ground and Reauthorization,”RL31668 (Washington, D.C.: Congressional Research Service, March 19, 2007), 17; Rebecca Skinner, “Memorandum to Senator Tom Coburn” (Washington, D.C.: Congressional Research Service, July 16, 2007), 1. 54. According to the College Board, “the percentage tuition, fees, room, and board at the average public four-year college covered by the maximum Pell Grant declined from 42 percent in 2001–02 to 33 percent in 2005–06.”College Board, “Trends in Student Aid,”2006, 5. 55. Mercer, “Federal Pell Grant Program.” 56. National Science and Mathematics Access to Retain Talent Grant (National SMART Grant). 57. Department of Education, “$790 Million in New Grants for College Students Available July 1,” June 29, 2006. http://www.ed.gov/news/pressreleases/2006/06/06292006a.html. 58. GAO, “Federal Student Loans: Challenges in Estimating Federal Subsidy Costs,” GAO-05-874 (Washington, D.C.: September 2005). 59. Adam Stoll, “The Administration of the Federal Family Education Loan and William D. Ford Direct Loan Programs: Background and Provisions,” RL33674 (Washington, D.C.: Congressional Research Service, September 29, 2006), 1. 03_7part.qxp 11/20/07 10:23 AM Page 252 03_8part.qxp 11/19/07 7:32 PM Page 253

CHAPTER 3-8

Helping People in Need

his chapter covers the Earned Income Tax Credit, Supplemental Security Income (SSI), Tthe Food Stamp Program, Temporary Assistance for Needy Families (TANF), Housing Assistance, Low Income Home Energy Assistance, and Unemployment Compensation.

Earned Income Tax Credit (EITC)

FY 2007 Spending on the Earned Income Tax Credit: $36.5 billion

Another means of silently lessening the inequality of property is to exempt all from taxation below a certain point.—Thomas Jefferson, 1785 letter to James Madison1

In a Nutshell

The Earned Income Tax Credit is the largest antipoverty entitlement program with over 22 million low-income tax filers receiving income tax relief and supplements to their wages. It is designed to “make work pay”—that is, to ensure that a full-time minimum wage worker receiv- ing EITC, along with Food Stamps, and Medicaid, will be lifted above the Federal Poverty Level. EITC is a “refundable” tax credit, which means that if a worker qualifies for a tax credit greater than his or her tax liability, the IRS “refunds” the remaining amount of the credit as a supple- ment to that person’s wages. Working families with incomes below $33,000 to $40,000 (depend- ing on marital status and number of children) and individual workers without children with income below $13,000 are entitled to the EITC. A recent study for Congress reported that fam- ilies with two or more children received an average EITC of $2,669; families with one child received an average of $1,728; and childless adults received much lower assistance of $218.2

Background

The EITC has broad bipartisan support. It was established in the 1970s during the Ford admin- istration as a temporary program to offset the regressive payroll (Social Security/ Medicare) tax burden on the working poor.3 The program was made permanent during the

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Carter Administration, expanded by the Reagan Administration, and became a central fixture of the Clinton Administration’s antipoverty efforts. As reflected in figure 3-8.1, EITC’s benefits are concentrated in families with adjusted gross income between $5,000 and $20,000 per year. The concept of the EITC is to “make work pay.”At very low wage levels, the EITC increases as work increases. It does this by eliminating the income taxes that very low-wage workers pay and by supplementing their wages (with a “refund”) in order to lift low-income working fam- ilies over the poverty line. Most of the EITC is received as a “refund.”4 The EITC is heavily weighted towards families with children (see figure 3-8.2). In a recent tax year, 98% of the benefits went to families with children.5 A study of the EITC expansions between 1984 and 1996 found that half of the large increase in employment of single mothers could be attributed to the EITC.6 The Committee for Economic Development, an organization of 250 corporate executives and university pres- idents, concluded in a report released in 2000 that “the EITC has been a powerful force in dra- matically raising the employment of low-income women in recent years.”7 Another study reported that “census data show that the EITC lifts more children out of poverty than any other single program or category of programs.”8 Moreover, in combination with the minimum wage, food stamps, and Medicaid, the EITC has helped to ensure that a family of four with a full-time minimum-wage worker does not have to live in poverty. (In recent years, the EITC/Food Stamps/Minimum Wage combination fell short of this goal due to the eroding purchasing power of the minimum wage; however, in May 2007, Congress enacted the first minimum wage increase in 10 years, boosting it from $5.15 to $7.25 an hour.9)

Issue: Strengthening the EITC

Low-income workers without children are eligible only for minimal EITC benefits, averaging about $220. This amount simply offsets taxes owed and does not supplement wages. The same rationales that apply to the EITC for families—“making work pay” and lifting minimum wage

FIGURE 3-8.1 EITC Benefits Concentrated at Low Wage Levels Where do EITC Benefits Go?

$30,000 - $40,000 1% emocnI ssorG detsujdA ssorG emocnI $25,000 - $30,000 5% $20,000 - $25,000 14% $15,000 - $20,000 22% $10,000 - $15,000 31% $5,000 - $10,000 21% Under $5,000 5% 03_8part.qxp 11/19/07 7:32 PM Page 255

HELPING PEOPLE IN NEED 255

FIGURE 3-8.2 At low wage levels, EITC increases as work increases

EITC Tax Credit by Income, Unmarried Filers, 2007

$5,000 $4,000 eulaV tiderC eulaV $3,000 Two or More Children One Child $2,000 No Children $1,000 $0 $0 $10,000 $20,000 $30,000 $40,000 Adjusted Gross Income

workers above the poverty line—applies equally to workers without children, making this a logical area for expanding the reach of the EITC’s benefits.

Supplemental Security Income for the Aged, Blind, and Disabled (SSI)

Estimated FY 2008 Spending on SSI: $41 billion

In a Nutshell

Supplemental Security Income is a Federal assistance program that ensures a minimum cash ben- efit to aged, blind, or disabled persons with low incomes and minimal assets. It is a safety net of last resort for those not covered by Social Security Disability Insurance. In order to be considered dis- abled under SSI an individual must be unable to work, taking into account age, education, and work experience.10 SSI recipients living alone (or in a household where all residents receive SSI benefits) are also automatically eligible for Food Stamps and, in most States for Medicaid.

Background

The Social Security Act, as originally enacted in 1935, included income support programs for needy aged and blind individuals, and in 1950, disabled individuals were added. At the time, the three categories were administered by state and local governments with partial Federal funding. Due to increasing inconsistencies among the various State and local programs, in 1972 Congress created the SSI program. SSI provides benefits primarily to adults and children with disabilities who are not eligi- ble for Social Security Disability Insurance (SSDI) benefits. Table 3-8.1 compares the SSI and SSDI programs. 03_8part.qxp 11/19/07 7:32 PM Page 256

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TABLE 3-8.1 Comparing Disability Benefits under SSI and SSDI11 Supplemental Security Income Social Security Disability Insurance Means-tested entitlement (available only Non-means-tested entitlement—individuals to low-income individuals who have are eligible if they have paid into the Social very limited income and assets) Security system and satisfy a work requirement.

SSI provides a flat cash benefit to Benefits in amounts related to the disabled individuals meeting the definition worker’s former earnings of “disabled.”

Generally, the individual must be unable Same to do any kind of work taking into account age, education, and work experience.

Children under age 18 are eligible if they Eligible only as children of a disabled worker qualify as disabled.

Funded by general revenues Funded by payroll taxes

Average monthly benefit at the end of Average monthly SSDI benefit at the end of 2006 was $469 for adults, $536 for 2006 was $946 (plus $249 for spouses and disabled children, and $374 for adults $280 for children). age 65 and over.

At the end of 2006, over 7.2 million At the end of 2006, nearly 8.6 million individuals were receiving SSI payments disabled workers and their dependents were (6 million of which were on the basis of receiving SSDI benefits. disability or blindness).

To be eligible for SSI, an individual must fall below federally mandated income and resource limits. On the income side, most earned income, is counted, while in-kind assistance from government programs, such as Food Stamps and public housing, are not. On the resources side, the limit for countable resources is $2,000 for an individual and $3,000 for a couple.12 SSI provides a number of incentives for individuals with mental or physical disabilities to transition to the workforce. First, under the Plans to Achieve Self-Support (PASS) pro- gram, disabled SSI recipients may submit a plan that outlines how he or she will achieve work-related goals, such as receiving specialized training or starting up a business. Once SSA approves the plan, money set aside or spent in the pursuit of one’s plan will not be counted as income or assets against federal SSI benefit. The money can be used for a wide variety of 03_8part.qxp 11/19/07 7:32 PM Page 257

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activities, including employment services, tuition, transportation to work, or supplies to start a business.13 Second, under the Ticket to Work and Self-Sufficiency Program, disabled SSI recipients are given a voucher to purchase vocational rehabilitation services from state agencies. Its goal is to increase opportunities and choices for individuals who are disabled. Third, for people already receiving SSI payments, earned income is not automatically sub- tracted from the maximum federal benefits. Instead, the SSA disregards the first $65 of income each month (called the earned income exclusion), after which federal benefits are reduced only $0.50 for each dollar earned as an incentive to transition to work. SSI also helps low-income parents meet the additional economic burdens associated with their child’s disability. It seeks to replace the lost earning of a parent who must stay home to care for the child and to compensate for medical and nonmedical expenses.

The Food Stamp Program

Estimated FY 2008 Spending on Food Stamps: $37 billion

In a Nutshell

The Food Stamp Program (FSP) is a Federal entitlement that provides monthly food assis- tance to low-income Americans. To be eligible, a household must have a combined gross income of less than 130% of the Federal Poverty Level. Monthly benefits vary with household size, income, and nonfood expenses such as high shelter costs and dependant care expenses.14 In 2006, the average monthly benefit was $94 per person (about $1 per meal), and the pro- gram served nearly 27 million participants.15 About 80% of food stamp recipients are in households with children, and nearly one-third are seniors or people with disabilities. The Food and Nutrition Service of the Department of Agriculture (USDA) sets eligibility stan- dards and allocates Food Stamp funds to the States; State agencies are responsible for day-to- day operations.

Background

Food Stamp benefits are delivered via debit cards and can be used to purchase food in thou- sands of stores across the country. FSP is highly responsive to economic conditions. During the 1990s, the number of Food Stamp recipients fell for six straight years, from 27 million to 17 million, due to the strong economy. However, since 2001, the number of recipients has increased due the recession, the failure of the recovery to extend to America’s poorest families,16 and growth in the number of individuals eligible for benefits.17 By 2006, the number of Food Stamp recipients was back up to 27 million. FSP also plays a critical role in disaster response. In 2005, the Department of Agriculture provided over $900 million of food stamps to about 4 million individuals in the aftermath of Hurricanes Katrina, Rita, and Wilma.18 03_8part.qxp 11/19/07 7:32 PM Page 258

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With poverty in America on the rise, it is surprising that only two-thirds of people eligi- ble for Food Stamps actually participate in the program.19 Participation rates vary greatly across the country, ranging from a low of 27% in San Diego to a high of 99% in Memphis.20

“Welfare”—Temporary Assistance for Needy Families (TANF)

FY 2007 Federal Spending on TANF: $17.1 billion

Myth: A mid-1990s survey by the Kaiser Family Foundation found that 40% of respon- dents believed “welfare” to be one of the two largest areas of federal spending.

Fact: At the time of the survey, the two largest areas of federal spending were Social Security and Defense (as they are today). The Federal government’s spending on “wel- fare,”now called Temporary Assistance for Needy Families (TANF), is actually less than 1% of the Federal Budget.21

In a Nutshell

Temporary Assistance for Needy Families (TANF) was enacted in 1996, as part of sweeping welfare reform legislation23 that replaced the Depression-era welfare programs: Aid to Fam- ilies with Dependent Children (AFDC), and Job Opportunities and Basic Skills Training (JOBS). In contrast to AFDC, which was an individual entitlement,24 TANF is a block grant25 that provides Federal funds to States for cash assistance, as well as for benefits and services such as transportation, child care, and training aimed at helping recipients move into the workforce. TANF requires that a family have a dependent child to be eligible for assistance. TANF’s basic annual grants range from $22 million in Wyoming to $3.7 billion in Cali- fornia.26 TANF is a joint Federal-State program; in order to receive an allocation from TANF, States must contribute matching funds amounting to 75% of the Federal block grant, rang- ing from $11 million in Wyoming to $2.7 billion in California. States are permitted to use TANF funds (and State matching funds) in any manner “rea- sonably calculated” to achieve TANF’s four goals: provide assistance to needy families with children, end dependence on government benefits, reduce out-of-wedlock pregnancies, and promote two-parent families. Although TANF is a block grant to States (which generally pro- vide significant flexibility), Federal law attaches some conditions designed to end dependence on government benefits. Foremost among these conditions is a five-year limit on cash assis- tance (although 20% may continue to receive assistance for reason of “hardship.”)

Background

The transformation of “welfare” from an entitlement to a block grant was aimed at reducing needy families’ dependence on welfare, requiring adults with children (mostly single moth- 03_8part.qxp 11/19/07 7:32 PM Page 259

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ers) to move into jobs, increasing the flexibility of States, and capping the cost of Federal wel- fare spending. Proponents of welfare reform argued that AFDC benefits, “instead of promot- ing self-reliance ...were widely believed to promote further dependence,and to be associated with the transmission of dependence to succeeding generations.”27 The welfare reform law substantially increased the discretion States have in the design and operation of their respective public assistance programs, allowing States to determine forms of assistance, the amount of cash benefits, and specific eligibility requirements. How- ever, the welfare reform law did set forth some specific national standards that each State must meet:

• Lifetime Limit: TANF, as a temporary assistance program, established a five-year lifetime limit on cash assistance for families (although up to 20% of families can be excluded from the lifetime limit for a variety of reasons such as a parent having a disability, a parent car- ing for a child with a disability, families dealing with domestic violence, and families with an elderly head of household).28 • Work Participation Requirements: In general TANF requires 30 hours29 of work per week in order to receive benefits after two years. In order to enforce this requirement, States face a loss of block grant funds if less than half of their benefit recipients are engaged in work activities.30 “Work activities” include full- or part-time employment in the public or pri- vate sector, TANF-subsidized employment, community service, training, caring for a child so another TANF recipient can do community service, and completion of high school.31 • State Funds: TANF requires States to sustain 75–80% of their historic level of spending under AFDC (known as “maintenance of effort” or MOE funds), but provides flexibility on how those funds can be used by the States.32 • Unmarried teen mothers must live at home (or in an adult-supervised setting) and stay in school in order to receive public assistance.

The 1996 law that originally established TANF expired in 2002. Due to disputes over the appropriate amount of child care funding as well as work rules for adult participants, reau- thorization of the law was delayed for more than three years—with the TANF law extended under a series of 12 temporary measures until it was finally reauthorized as part of the FY 2006 Budget Reconciliation law.33 The reauthorization law extended the program through FY 2010, at a level of $16.5 billion per year for basic block grants.

Housing Assistance

FY 2007 Spending by HUD for Housing Assistance Programs: $35 billion

In a Nutshell

The Departments of Housing and Urban Development (HUD) and Agriculture (USDA) fund various housing assistance programs for low-income households generally, low-income house- holds in rural areas, and people who are homeless. Following are the principal programs: 03_8part.qxp 11/19/07 7:32 PM Page 260

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• Section 8 Rental Subsidies assisting nearly 3.5 million low-income households. Section 8 consists of two programs: the Housing Choice Voucher program that gives more than two million low-income households vouchers to help pay for housing in the private market, and a Project-Based Subsidy program that attaches Federal subsidies to 1.3 million units creating a supply of subsidized low-income housing. (In FY 2007, the voucher program was funded at $16 billion and the project-based program at $6 billion). • Public housing includes capital funding for improvements in public housing projects (FY 2007: $2.4 billion) and operating subsidies (FY 2007: $3.8 billion) to cover the gap between rental income and costs. In addition, a small program, HUD’s HOPE VI program, pro- vides funding to renovate or demolish dilapidated public housing and replace it with mixed income housing (FY 2007: $99 million). • HOME Investment Partnership Program provides block grants to States to fund the development and rehabilitation of low-cost housing and, in so doing, to strengthen com- munities and reduce homelessness (FY 2007: $1.8 billion). • McKinney-Vento Homeless Assistance Grants (from HUD) fund four programs that pro- vide housing and other services for homeless persons: Emergency Shelter Grants, Supportive Housing, Section 8 Moderate Rehabilitation Assistance for Single-Room Occupancy Dwellings, and Shelter + Care (FY 2007: $1.4 billion). In addition to these HUD-sponsored programs, HHS, the VA, the Department of Labor, the Department of Justice, and FEMA administer a number of smaller programs for the homeless (FY 2007: $577 million).34 • Rural Housing Service programs, at the Department of Agriculture, provide rental assis- tance, interest subsidies, grants, and loans to increase the availability of affordable hous- ing in rural areas (FY 2007: $1.4 billion).35

Background

Since the U.S. Housing Act of 1937, the Federal government has engaged in efforts to address the housing needs of low-income Americans. Housing assistance has never been provided as an entitlement for all persons in need, however over four million people currently receive Fed- eral housing assistance, primarily through programs administered by HUD.36 The primary goal of housing assistance programs is to make suitable housing affordable for low-income households. Studies show that a large percentage of poor families spend more than half of their income on housing costs, limiting their ability to meet other basic needs and increasing the risk of homelessness. In addition, studies show that a lack of low-cost hous- ing options can serve as a barrier to stable employment.37 Section 8 Housing Programs.—Established by the Housing and Community Development Act of 1974 (P.L.93-383), Section 8 programs have become the foundation of Federal housing assistance, accounting for nearly $22 billion in Federal spending in FY 2007. Section 8 consists of the Housing Choice Voucher program that provides vouchers to eligible low-income house- holds and the project-based rental assistance that attaches subsidies to specified housing units. The Voucher Program is the nation’s largest low-income housing assistance program, pro- viding vouchers to more than two million very low-income families, elderly, and disabled Americans.38 Vouchers are used by the recipient households to lower their rental costs to a maximum percentage of their income (generally 30% although in certain cases up to 40%), 03_8part.qxp 11/19/07 7:32 PM Page 261

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with the HUD vouchers covering the balance up to a limit. Housing choice vouchers are administered by local public housing agencies (PHAs) and funded entirely by the Department of Housing and Urban Development. The program has broad-based political support due to its use of the private market and its efficient delivery of substantial assistance to very low- income households. Section 8 housing vouchers are not an individual entitlement program; the number of available vouchers is determined by Congress’ annual appropriations. The eligibility rules limit vouchers to “very low-income families,” with gross income less than 50% of the local area median income, although three-quarters of the vouchers must go to “extremely low- income families” with less than 30% of area median income. Even so, the number of available vouchers is far exceeded by the number of eligible families seeking rental assistance. In 2006, the GAO reported that only 27% of all renter households with very low incomes received housing assistance from Section 8 or another federal housing program.39 The other Section 8 program—which predates the Voucher Program—is known as Sec- tion 8 “Project-Based” assistance, where HUD rental subsidies are tied to particular units of privately owned housing (rather than to tenants as in the voucher program). Low-income families that live in Section 8 project-based units generally pay 30% of their incomes toward rent. When a family leaves, the owner of the housing continues to receive payments as long as he or she can move another low-income household into the unit. Total rent on these units is negotiated between HUD representatives and the landlord and are adjusted annually. Most of today’s project-based subsidies were initially established during the 1970s and early 1980s. By the mid-1980s, the Section 8 program’s emphasis shifted from Project-Based subsidies to the new Housing Choice Voucher program, because of concern that the existing project- based approach was concentrating low-income families in high poverty areas. Public Housing.—New public housing developments have not been built in many years, yet over 1.3 million households and over 2 million people currently live in federally funded public housing. Established under the U.S. Housing Act of 1937, the federal public housing program provides housing for eligible lower income families, elderly people, and individuals with disabilities. Public housing ranges from single family homes to high-rise apartment buildings for elderly people and often includes other services. The program is managed by local housing agencies and financed by the Department of Housing and Urban Develop- ment.40 Congress appropriates discretionary funds annually for two accounts: the Operating Fund41 and the Capital Fund. Over 50% of families living in public housing have extremely low incomes—that is, below 30% of the area median income.42 The waiting lists for public housing are long, and in many large cities, the waiting period may last up to 10 years.43 A family’s rent is based on anticipated gross annual income less certain deductions. A household may stay in public housing as long as it complies with the terms of the lease, and a family cannot be required to move out unless it can afford housing in the private market. Since 1992, Congress has funded a small public housing revitalization program, known as HOPE VI (Housing Opportunities for People Everywhere). The objective of HOPE VI is to avoid concentrations of poverty “by placing public housing in non-poverty neighborhoods and promoting mixed-income communities.”44 In so doing, HOPE VI seeks to address the problems that plague many housing developments including high rates of violence and other 03_8part.qxp 11/19/07 7:32 PM Page 262

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crimes. Programs for the Homeless.—Many theories have been advanced on why homelessness has dramatically increased in America: dramatic changes in state mental health policies in the 1970s leading to discharges of patients from mental hospitals, the failure to follow-up the dis- charges with establishment of adequate community-based outpatient mental health services, lack of affordable housing, substance abuse and the lack of needed services, domestic vio- lence, lack of prisoner reentry programs, and changing mores on taking in homeless family members. What is no longer debated is that homelessness persists as a major national problem in the United States.45 The most recent estimates of HUD are that “754,000 people were homeless in the U.S. on a given night in January 2005 . . . [and] among these . . . 339,000 were unsheltered.”About two-thirds of the homeless were “unaccompanied adults and youth,” and one-third were “homeless adults and children.”The profile also estimated that 25% of the homeless are dis- abled, 19% of the adult homeless are veterans, and 23% are chronically homeless.46 Other studies estimate that, over the course of a year, the number of homeless in America is between 2.3 million and 3.5 million.47 Most of HUD’s funding for homeless assistance grants is awarded through three pro- grams, which are competitive grant programs: the Supportive Housing Program (SHP), Shel- ter Plus Care (S+C), and Single Room Occupancy (SRO). Nonprofit organizations compete for these grants along with State and local governments. The SHP competitive grants, funded at nearly $900 million, provide funds for transitional housing for homeless individuals and families for up to 24 months, as well as permanent hous- ing for disabled homeless individuals, and supportive services such as case management, health and child care, and employment assistance. The S+C program, funded at more than $300 million, provides permanent supportive housing through rent subsidies for disabled homeless individuals and their families. The third competitive grant, the SRO program, pro- vides permanent housing to homeless individuals in efficiency units similar to dormitories, although this program is poorly funded at less than $1 million. In addition to the three competitive grant programs, the Emergency Shelter Grants (ESG) program, funded at nearly $160 million, distributes funds to States, counties, and metropol- itan areas for short-term needs of the homeless, such as emergency shelter.48 Are these HUD programs, and other programs administered by HHS, the VA, the Dept. of Labor, and FEMA meeting their stated objectives? The 2006 annual survey of Hunger and Homelessness by the U.S. Conference of Mayors casts doubt on the effectiveness of current efforts. They Mayors’ report found that

an average of 23 percent of the requests for emergency shelter by homeless people over- all and 29 percent of the requests by homeless families alone are estimated to have gone unmet during the last year. In 86 percent of the cities, emergency shelters may have to turn away homeless families due to lack of resources; in 77 percent they may also have to turn away other homeless people....In 55 percent ofthe cities, families may have to break up in order to be sheltered....Mental illness and the lack of needed services lead the list of causes of homelessness identified by city officials.49 03_8part.qxp 11/19/07 7:32 PM Page 263

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Low-Income Home Energy Assistance (LIHEAP)

FY 2007 Spending for LIHEAP: $2.2 Billion

In a Nutshell

The Low-Income Home Energy Assistance Program (LIHEAP) makes grants to States to assist low-income households with essential energy costs in order to avoid loss of life due to extreme temperatures. Federal LIHEAP funds are allocated to States by the Department of Health and Human Services and are disbursed to eligible households by the States.

Background

Rising energy prices disproportionately impact low-income households. According to the LIHEAP Home Energy Notebook released by the Department of Health and Human Services, the “mean individual energy burden” was 6.3% of income. However, the energy burden for low-income households was 13.6% of income, more than twice the energy burden of all households.50 LIHEAP is not an entitlement program; it is a discretionary block grant under which the Federal government allocates funds to States to operate home energy assistance pro- grams for their residents. Each year, the Appropriations Committees of the Congress deter- mine how much funding is to be available for allocation. State allocations range from $2 million for Hawaii to $248 million allocated to New York State.51 As with many block grant programs, the formula for allocation to the States is complex, due to competing regional interests.52 Congress appropriates two types of LIHEAP funds: “regular funds,” which are allocated to States under a statutory formula, and “contingency funds,”which are disbursed at the dis- cretion of the Administration for emergency needs. For FY 2007, Congress appropriated $1.98 billion for regular funds and $181 million for contingency funds.53 States can use LIHEAP funds to finance several types of energy assistance:

• Direct assistance to low-income households for heating or cooling bills; • Low-cost weatherization projects (e.g., window replacement or other home energy– related repairs); • Services to reduce energy consumption (e.g., needs assessments and counseling on how to reduce energy consumption); and • Emergency assistance during extreme conditions in the winter or summer.54

Although LIHEAP is not an entitlement, Federal law sets basic eligibility guidelines. States are required to limit energy assistance payments to households with incomes no higher than 150% of the Federal Poverty Level or 60% of the State’s median income. (States may set lower limits, though no lower than 110% of the FPL.)55 Within these guidelines, States have broad discretion in how they operate their respec- tive energy assistance programs. For example, States may choose to make LIHEAP eligibility 03_8part.qxp 11/19/07 7:32 PM Page 264

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automatic for households in which one member receives TANF, SSI, Food Stamps, or low- income veterans’ benefits programs. States can impose other eligibility tests, including giving priority to households with the greatest energy cost burdens or households with disabled, elderly, or young children. Nearly 35 million Americans fall within the Federal eligibility guidelines. However, in FY 2005, the most recent year for which figures are available, only 5 million households actually received assistance, with an average benefit of $304.56 This is a clear example of the difference between an entitlement and a discretionary spending program. If LIHEAP were an entitlement, 35 million people would receive a set ben- efit, determined by law. However, since LIHEAP is a discretionary program, the amount of funds appropriated each year—and the details of the State programs—determine how many low-income Americans receive assistance and how much assistance they receive.

Unemployment Compensation

Estimated FY 2008 Spending on Unemployment Compensation: $36 billion

In a Nutshell

The Federal-State Unemployment Insurance (UI) program provides temporary, partial wage replacement to unemployed workers and also serves to stabilize the economy during reces- sions. Regular unemployment benefits—averaging $280 in 2007—generally continue for a maximum 26 weeks, and extended benefits (available during higher levels of unemployment) can add another 13 to 20 weeks. The Federal government collects a 0.8% unemployment tax from employers (FUTA), and State governments collect state unemployment taxes from employers (SUTA), all of which is deposited in the Federal Unemployment Trust Fund. Unem- ployment benefits are paid by the States and are reimbursed from the Trust Fund. State unem- ployment taxes pay for regular UI benefits and half of extended UI benefits. Federal taxes pay for administrative costs of the State programs and the other half of extended benefits.

Background

Established by the Social Security Act of 1935, Unemployment Insurance (often referred to as Unemployment Compensation, or UC), is a joint Federal-State program designed as tem- porary assistance for workers who become unemployed through no fault of their own. UI pay- ments replace some of the lost earnings of involuntarily unemployed workers while they seek other employment. From a macroeconomic perspective, the program also serves to stabilize the economy during times of economic downturn by sustaining consumer spending. As a joint Federal-State program, the U.S. Department of Labor establishes Federal guide- lines that the States and territories must follow in administering their respective UI programs, such as categories of workers that must be covered. However, States set most of the specific eligibility rules. In general, States require that in order to receive UI benefits, a worker must: 03_8part.qxp 11/19/07 7:32 PM Page 265

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• have lost a job through no fault of his or her own (i.e., the person was not fired for cause); • be actively seeking new work; • have the ability to work (i.e., not prevented from working due to a disability); and • have worked a minimum number of weeks or quarters and/or earned a minimum amount of wages.57

A claimant is usually disqualified if he or she quit voluntarily, was discharged for job- related misconduct, refused suitable work without good reason, or is unemployed as a result of a labor dispute. Weekly benefits are calculated as a percentage of average weekly income, usually between 50% and 70% up to a state-determined maximum. In addition, some states adjust benefits for the number of dependents and other sources of income. Weekly maximum benefits range from $210 in Mississippi to $862 in Massachusetts.58 In most states, individuals can receive benefits for up to 26 weeks. During periods of economic growth, most UI beneficiaries return to work before their 26 weeks of benefits expire. (In FY 2006, the average duration was 15 weeks.59) But during economic slow-downs, individuals are more likely to exhaust benefits without finding new employment. In those instances, UI benefits may be extended at the State level for an addi- tional 13 to 20 weeks by the Extended Benefits (EB) program. The EB program’s most recent activity was in Louisiana during the aftermath of Hurricanes Katrina and Rita. UI benefits are financed through an unusual combination of Federal and State employer taxes.60 The Federal tax, known as FUTA (Federal Unemployment Tax Act), generally requires employers to pay 0.8% on the first $7,000 paid annually to each employee.61 States also levy their own payroll taxes on employers, known as SUTA taxes (State Unemployment Tax Act). The SUTA tax rates, and the amount of income subject to the tax, vary greatly among the States.62 Both FUTA and SUTA taxes are deposited in the Federal Unemployment Trust Fund and are counted as Federal revenues (and reimbursement of States for benefits paid are counted as Federal outlays). SUTA taxes pay for regular UI benefits and half of extended UI benefits. FUTA taxes pay for administrative costs of the State programs and the other half of extended UI benefits. For FY 2007, Congress appropriated $2.5 billion from the Trust Fund to pay for Federal and State program administrative costs and the Federal share of extended UI benefits. These funds are discretionary appropriations. Payments for actual benefit payments were projected at $31.3 billion and are considered to be mandatory spending because States are entitled to reimbursement of their benefit payments from the Federal Unemployment Trust Fund. (Each State has an account within the Trust Fund and may borrow from the Federal Treasury if their account is depleted.) In a recent report to Congress on the UI program, it was reported that “in March 2007, 2.6 million unemployed workers received UI benefits in a given week and the average weekly UC benefit was $281.”63 During some economic recessions, the Federal government steps in and establishes a Fed- eral-funded Temporary Extended Unemployment Compensation (TEUC) program (some- times called emergency benefits). Congress has acted five times—in 1971, 1974, 1982, 1991, 03_8part.qxp 11/19/07 7:32 PM Page 266

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and 2002—to provide up to 13 addi- TABLE 3-8.2 Comparing UI Revenues and Outlays tional weeks of Federally funded Outlays: Fiscal Years 2002 and 2007 (billions of $) benefits for unemployed workers FY 2002 FY 2007 whose regular UC benefits have been exhausted. Most recently, Congress UI Revenue, Total 27.5 44.9 enacted emergency benefits in FY FUTA Taxes 6.6 7.3 2002, as reflected in table 3-8.2. SUTA Taxes 20.9 37.6 UI Outlays, Total 53.8 34.7 Notes Regular Benefits 42 30.8 Extended Benefits 0.16 0.0 1. Daniel B. Baker, ed., Political Quo- Emergency Benefits 7.9 — tations (Detroit: Gale Research, 1990), Administrative Costs 3.7 3.9 218. 2. Christine Scott, “The Earned Source: CRS.64 Income Tax Credit (EITC): An Overview,” RL31768 (Washington, D.C.: Congres- sional Research Service, March 15, 2007), 5. The maximum EITC amounts for FY 2007 are $4,716 for families with two or more children, $2,853 for families with one child, and $428 for families with no children. 3. A tax is “regressive” when it impacts disproportionately on lower income taxpayers. Payroll taxes (Social Security and Medicare tax) are regressive because the 7.65% paid by a low-income worker is far more burdensome than the 7.65% tax paid by a worker earning $90,000 per year. Conversely, a tax is viewed as “progressive” when the tax rate on lower-income workers is a lower percentage than the tax rate on middle- and high-income workers. 4. In 2004, 88% of the EITC was received as a refund. Scott, “The Earned Income Tax Credit,”8. 5. Scott, “The Earned Income Tax Credit,”10. 6. Bruce Meyer and Dan Rosenbaum, “Making Single Mothers Work: Recent Tax and Welfare Pol- icy and Its Effects,”in Making Work Pay: The Earned Income Tax Credit and Its Impact on America’s Fam- ilies, ed. Bruce Meyer and Douglas Holtz Eakin (New York: Russell Sage Foundation, 2001), as cited in Robert Greenstein, The Earned Income Tax Credit: Boosting Employment, Aiding the Working Poor (Wash- ington, D.C.: Center on Budget and Policy Priorities, August 17, 2005), fn. 2. 7. CED, “Welfare Reform and Beyond: Making Work Work” (New York: Committee for Economic Development, 2000), 7, http://www.ced.org/projects/welfare.shtml. 7 8. Greenstein, The Earned Income Tax Credit, 3. 9. HR 2206 (110th Congress, 1st Sess.) 10. For adults, disability is defined as the inability to engage in substantial gainful activity due to a medically determinable physical or mental impairment expected to last at least 12 months or result in death. Scott Szymendera, “Supplemental Security Income (SSI): A Fact Sheet,” 94-486 (Washington, D.C.: Congressional Research Service, December 26, 2006), 1. 11. Sources: Szymendera, “Supplemental Security Income (SSI)”; and Scott Szymendera, “Primer on Disability Benefits: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI),”RL 32279 (Washington, D.C.: Congressional Research Service, December 26, 2006). 12. For a complete list of countable and uncountable resources, see http://www.socialsecurity.gov /notices/supplemental-security-income/text-resources-ussi.htm. 13. See http://www.socialsecurity.gov/disabilityresearch/wi/pass.htm. 14. Joe Richardson, “Food Stamps: Background and Funding,”98-59 EPW (Washington, D.C.: Con- gressional Research Service, November 7, 2000), summary. See also Dorothy Rosenbaum, “The Food 03_8part.qxp 11/19/07 7:32 PM Page 267

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Stamp Program Is Growing to Meet Need” (Washington, D.C.: Center on Budget and Policy Priorities, July 12, 2006), 4. 15. USDA, “Food Stamp Program Monthly Data,” http://www.fns.usda.gov/pd/34fsmonthly.htm (accessed September 2, 2007). 16. According to a recent study, “real median wages for the bottom one-fifth of full-time workers fell in 2003, 2004, and 2005.”Rosenbaum, “The Food Stamp Program,”3. 17. The 2002 Farm Bill restored food stamp eligibility for some legal immigrants and Food Stamps are now available in many States to people who own a reliable car. Rosenbaum, “The Food Stamp Pro- gram,”3. 18. Rosenbaum, “The Food Stamp Program,”5. 19. Kari Wolkwitz, “Trends in Food Stamp Program Participation Rates: 1999–2005” (Washington, D.C.: Mathematica Policy Research, June 2007), xi. 20. “Food Stamp Access in Urban America: A City-by-City Snapshot,” Food Research and Action Cen- ter, October 2006, http://www.frac.org/pdf/cities2006.pdf. 21. Interviewed in USA Today, November 26, 2006: www.usatoday.com/money/world/2006-11-26- yunus-usat_x.htm?csp=34. 22. Kaiser Family Foundation/Harvard Program on the Public and Health/Social Policy Survey, http://www.kff.org/kaiserpolls/1001-welftbl.cfm. Even if one adds other income security and social services programs aimed at helping low-income Americans—SSI, EITC, Child Care, Housing Assistance, LIHEAP, Food Stamps, Head Start, SCHIP, Community Health Centers, Child Nutrition, and WIC— the funds expended amount to just over 7% of the budget. 23. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996, P.L. 104-193. 24. Under AFDC, poor families with children were entitled to Federal-State public assistance bene- fits according to an income-based formula. 25. “Block grants” are generally lump sum allocations of Federal funds to States, with significant flexibility on how States may use the funds. 26. Gene Falk, “The Temporary Assistance for Need Families (TANF) Block Grant: A Primer on TANF Financing and Federal Requirements,”RL32748 (Washington, D.C.: Congressional Research Ser- vice, April 23, 2007), 3–4. 27. House Committee on Ways and Means, “A Decade since Welfare Reform: 1996 Welfare Reforms Reduce Welfare Dependence,”February 26, 2006, 2. 28. According to the GAO, States have generally permitted extensions for “families they considered hard to employ, families who were working but not earning enough to move off of TANF, and families that were cooperating with program requirements but had not yet found employment.” General Accounting Office, “Welfare Reform: With TANF Flexibility, States Vary in How They Implement Work Requirements and Time Limits” (Washington, D.C.: Author, July 2002), 3. 29. Thirty-five to 55 hours for two-parent families and 20 hours for single parents caring for preschool children. The requirement is waived for single parents if child care is unavailable. 30. Department of Health and Human Services, Administration for Children and Families, “Office of Family Assistance Fact Sheet,” www.acf.hhs.gov/opa/fact_sheets/tanf_printable.html. See also General Accounting Office, “Welfare Reform,”1. 31. Falk, “Primer on TANF,”table A-1. 32. See General Accounting Office, “Welfare Reform,”6–7. 33. The Deficit Reduction Act of 2005. See appendix N. 34. FEMA/DHS: Emergency Food and Shelter Program; HHS: Health Care for the Homeless, Proj- ects for Assistance in Transition from Homelessness, Consolidated Runaway and Homeless Youth Pro- gram, Runaway and Homeless Youth-Street Outreach Program; ED: Education for Homeless Children and Youth; VA: VA Supportive Housing Program; DOL: Homeless Veterans Reintegration Program; 03_8part.qxp 11/19/07 7:32 PM Page 268

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DOJ: Transitional Housing Assistance for Child Victims of Domestic Violence, Stalking, or Sexual Assault. For a description of these programs, see Libby Perl, “Homelessness: Targeted Federal Programs and Recent Legislation,”RL 30442 (Washington, D.C.: Congressional Research Service, August 3, 2007). 35. See Bruce Foote, “USDA Housing Program,”RL33421 (Washington, D.C.: Congressional Research Service, July 27, 2007). 36. Jeffrey M. Lubell, Mark Shroder, and Barry Steffen, “Work Participation and Length of Stay in HUD-Assisted Housing,” Cityscape 6, no. 2 (2003). 37. Section 8 Housing Choice Voucher Program: Funding and Related Issues, CRS Report for Congress. 38. U.S. Department of Housing and Urban Development, Housing Choice Voucher Fact Sheet, http://www.hud.gov/offices/pih/programs/hcv/about/fact_sheet.cfm 39. GAO, Rental Housing Assistance: Policy Decisions and Market Factors Explain Changes in the Costs of the Section 8 Program (Washington, D.C.: April 28, 2006). 40. U.S. Department of Housing and Urban Development,“HUD’s Public Housing Program,”April 25, 2006, http://www.hud.gov/renting/phprog.cfm. 41. See Maggie McCarty, “Public Housing: Fact Sheet on the New Operating Fund Formula,” RS22557 (Washington, D.C.: Congressional Research Service, April 13, 2007). 42. U.S. Department of Housing and Urban Development, “Resident Characteristic Report,”August 31, 2006. http://pic.hud.gov/pic/RCRPublic/rcrmain.asp 43. National Coalition for the Homeless, Federal Housing Assistance Programs: NCH Fact Sheet #16, June 2006, http://www.nationalhomeless.org/publications/facts/Federal.pdf. 44. HUD, “About HOPE VI” (Washington, D.C.: U.S. Department of Housing and Urban Develop- ment, August 4, 2006), www.hud.gov/offices/pih/programs/ph/hope6/about/. See also Maggie McCarty, “HOPE VI Public Housing Revitalization Program: Background, Funding, and Issues,”RL32236 (Wash- ington, D.C.: Congressional Research Service, March 30, 2007). 45. Libby Perl, “The HUD Homeless Assistance Grants: Distribution of Funds,” RL33764 (Wash- ington, D.C.: Congressional Research Service, August 3, 2007), 1; United States Conference of Mayors, “Hunger and Homelessness Survey,” December 2006, 4; and conversations the author had with Sena- tor Daniel Patrick Moynihan on the causal relationship between closure of State mental hospitals across the country and the epidemic of homelessness. 46. Department of Housing and Urban Development, “The Homeless in America: A Profile Based on the First Annual Homeless Assessment Report (AHAR),”http://www.hud.gov/offices/cpd/homeless /library/homelessnessfactsheet.pdf. 47. Libby Perl, “Homelessness: Targeted Federal Program and Recent Legislation,”RL30442 (Wash- ington, D.C.: Congressional Research Service, August 3, 2007), summary. 48. Funding levels for homeless grants are FY 2006 funding. Source: Perl, “The HUD Homeless Assis- tance Grants,”table 1. 49. U.S. Conference of Mayors, “Hunger and Homelessness Survey: A 23-City Survey,” (Sodecho, Inc., December 2006), 3–4. 50. Accessed at http://www.acf.hhs.gov/programs/liheap/data/notebook/notebook.html. 51. Libby Perl, “The Low-Income Home Energy Assistance Program (LIHEAP),” RL31865 (Wash- ington, D.C.: Congressional Research Service, July 3, 2007, 14. 52. See Libby Perl, “Low-Income Home Energy Assistance Program (LIHEAP) Allocation Rates: Leg- islative History and Current Law, RL33275 (Washington, D.C.: Congressional Research Service, August 21, 2007). 53. Perl, “The Low-Income Home Energy Assistance Program (LIHEAP),”2. 54. Perl, “The Low-Income Home Energy Assistance Program (LIHEAP),”6–7. 55. Perl, “The Low-Income Home Energy Assistance Program (LIHEAP),”6. 56. Perl, “The Low-Income Home Energy Assistance Program (LIHEAP),”9. 03_8part.qxp 11/19/07 7:32 PM Page 269

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57. CRS, “Unemployment Insurance: Available Unemployment Benefits and Legislative Activity,” May 23, 2006, 2–3 58. Julie Whittaker, “Unemployment Compensation: The Cornerstone of Income Support for Unem- ployed Workers,”RS22538 (Washington, D.C.: Congressional Research Service, April 26, 2007), 2. 59. Whittaker, “Unemployment Compensation,”3. 60. Three states require minimal employee contributions. See www.workforcesecurity.doleta .gov/unemploy/uifactsheet.asp. 61. This rate applies provided the State program complies with Federal rules. If a State fails to com- ply, the State’s employers can be required to pay the maximum FUTA tax rate of 6.2%. 62. The SUTA taxes are “experience rated,” which means that the more UC benefits paid to its for- mer employees, the higher the tax rate of the employer. Whittaker, “Unemployment Compensation,”4. 63. Whittaker, “Unemployment Compensation,”1, 3. 64. Julie Whittaker, “Unemployment Insurance: Available Unemployment Benefits and Legislative Activity,”RL33362 (Washington, D.C.: Congressional Research Service, April 23, 2007). 03_8part.qxp 11/19/07 7:32 PM Page 270 03_9part.qxp 11/20/07 10:25 AM Page 271

CHAPTER 3-9

Transportation Programs

To be immobile is to be in chains. —Abraham ibn Ezra, 12th-century biblical scholar and philosopher famous for his wanderings through Europe and North Africa1

he transportation budget for FY 2007 totaled about $65 billion, funding highways and Tbridges, airports, air traffic control, mass transit, Amtrak, and transportation safety.

FIGURE 3-9.1 FY 2007 Transportation Spending (billions of dollars)

noitatropsnarT kartmA ytefaS 1 1 tisnarT ssaM tisnarT 9

ciffarT riA ciffarT tropriA & lortnoC & tropriA & syawhgiH & stnemevorpmI segdirB 15 40

271 03_9part.qxp 11/20/07 10:25 AM Page 272

272 AMERICA’S PRIORITIES

Federal-aid Highway Program (Highways and Bridges)

FY 2007 Spending for Highways and Bridges: $40 billion

See www.GovBudget.com for updated numbers.

In a Nutshell Federal spending on highways and bridges is funded by gasoline, diesel, and other Federal taxes2 credited to the “Highway Trust Fund.”Every five or six years, Congress enacts a multi- year “highway bill” that sets total highway and bridge spending for each year (based on rev- enues flowing into the Trust Fund) and establishes allocation formulas for dividing available revenues among the States. Establishing these allocation formulas is often a long and politi- cally contentious process. Once established, the formulas are annually adjusted to keep spend- ing authority aligned with projected revenues.3 Based on the highway bill formulas, the Federal Highway Administration (FHWA) annually apportions to States authority to enter into con- tracts obligating the Federal government to pay a share of project costs. This allocation is known as contract authority. When various phases of contract work are completed, a State notifies FHWA, which authorizes the U.S. Treasury to disburse funds to the State covering the Federal obligation. This disbursement represents Federal outlays. The highway authorization bill enacted in 2005, known by its acronym SAFETEA-LU,4 provided $199 billion in contract authority for the highway program over fiscal years 2005 to 2009, including $40 billion for FY 2007.5 Even though efforts are made to align contract authority with projected revenues, CBO projects that the Highway Trust Fund will be insolvent by 2009, due to insufficient tax revenues to cover projected outlays.

Background Funding of highway and bridge projects is unlike the typical budget process described in Part II of this book. Typically, authorizing committees set the desired funding levels for a program, and the Appropriations Committees set actual funding levels. In the case of highway funding, however, the authorizers (the Environment and Public Works Committee in the Senate, and the Transportation and Infrastructure Committee in the House) have at least as much impact as the Appropriations Committees. The authorizers craft their multiyear highway bills in a way that permits States to obligate the Federal government as partners on highway and bridge projects without an appropriation. This authority to enter into contracts that obligate Federal resources, in advance of appro- priations, is known as contract authority.6 Contract authority is generally prohibited by the Congressional Budget Act because it allows the annual appropriations process to be circum- vented. However, the Budget Act provided a special exception for contract authority derived from trust funds, such as the Highway Trust Fund, that are funded by dedicated taxes.7 Put another way, because the Federal highway aid program is funded by dedicated taxes, the autho- rizing committees can determine how those revenues will be used outside the usual appro- priations process. 03_9part.qxp 11/20/07 10:25 AM Page 273

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SOLVENCY OF THE HIGHWAY TRUST FUND In March 2007 testimony, the Congressional Budget Office projected that “the highway account of the Highway Trust Fund will become exhausted at some point during fiscal year 2009 [and] the mass transit account will [only] have sufficient revenues to cover its expenditures until 2012.”9 The reason for the projected insolvency is that the growth in Federal outlays for highways, bridges, and mass transit programs are outpacing rev- enue increases. As explained by CBO, “fuel taxes do not grow as rapidly as the economy ....[I]f fuel taxes are extended, revenues from them will grow about 1.5 % per year from 2007 to 2017, less than the nominal growth of the economy, at 4.6%.”Moreover, as Americans gradually shift to hybrid and other fuel-efficient vehicles, the current fuel tax based revenue stream for highway spending will erode. Consequently, Congress is approaching a critical decision point on highway spending, and it will have to choose among slowing highway and mass transit projects, raising Federal fuel taxes, taxing other items, and supplementing available funds from general revenues (which would generate higher Federal deficits). These options should be considered in light of GAO’s finding that “federal-aid highway grants have influenced state and local governments to substi- tute federal funds for state and local funds that otherwise would have been spent on highways.”10 In other words, increased Federal resources do not necessarily translate into a greater national investment in highways. Analyzing the various financing options is the task assigned to the National Surface Transportation Infrastructure Financing Commission established by SAFETY-LU.11

In some years, however, there has been a tug of war between the authorizing committees and the Appropriations Committees. This occurs when the Appropriations Committees set annual limits on highway spending levels—called obligation limitations—lower than the con- tract authority levels set in the highway bill.8 In those instances, the obligation ceiling in the appropriations bill “trumps” the spending levels in the multiyear highway authorization bill, under the general legal principle that the most recently enacted legislation controls. As explained in the text box, the impending insolvency of the Highway Trust Fund may require the Appro- priations Committees to tighten obligation limitations and take additional steps to reduce outlays from the Highway Trust Fund.

Issue: Distribution of Funding among the States Negotiating the details of the multiyear highway bill consumes more of Congress’ time than most other legislation. (Before enactment of SAFETEA-LU in 2005, the previous highway bill had expired in 2003, and the funding pipeline was continued with 11 temporary extensions while Congress and the Administration struggled to reach agreement.) The major reason for difficulty in reaching an agreement on the highway bill is no mystery: disputes about how to slice the budget pie among the 50 States. This is often called the “donor-donee issue,” with donor States paying more in Federal fuel taxes than they receive in Federal highway aid, and donee States receiving more aid than taxes paid. (Southern, midwestern, and western States 03_9part.qxp 11/20/07 10:25 AM Page 274

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are often donor States, and northeastern States are generally donee States, with their aging infrastructure.) The drafters of SAFETY-LU eventually reached a compromise that ensured donor States a 92% return on their fuel taxes.12 With few exceptions, Federal-aid highways must be matched by the States; the State match is usually 20%.

Issue: Are the Nation’s Bridges Safe? In the wake of the sudden collapse of the I-35W bridge in Minneapolis on August 1, 2007, the Congressional Research Service reported to Congress that “of the 600,000 public road bridges listed in the National Bridge Inventory, roughly 12% or 74,000 are classified as structurally deficient.”CRS estimates that at current spending levels (see table 3-9.1), the number of defi- cient bridges would only be cut in half by 2024. Reducing the backlog to zero would require about a 20% increase in the bridge program.13 It should also be noted that while the Federal Highway Bridge Program provides a significant share of the funding for bridge repairs and replacement, the States are responsible for inspecting bridges, signing contracts, and manag- ing the actual work.

Issue: Earmarks

A Congressman is never any better than his roads, and sometimes worse.—Will Rogers14

As reflected in Will Rogers’ timeless wit, directing Federal highway dollars to one’s State or District is a congressional tradition. Yet, this runs counter to the commonsense principle that dollars to maintain the safety of highways and bridges ought to be apportioned on the basis of need. Particularly with bridges, safety should be the paramount factor in distributing Federal aid highway program dollars. However, increasing amounts of highway dollars are apportioned based on the seniority and committee assignments of Senators and Representatives—not on an objective assessment of safety and need by engineers and transportation planners. The current highway bill, SAFETEA-LU, contains a record number of earmarks: over 5,600 with a value of more than $24 billion (more than 12% of highway spending over five years).15 Significantly, this is nearly three times the number of earmarks in the prior highway bill (TEA-21). It remains to be seen whether the new earmark disclosure rules (discussed in chapter 2-9) will moderate the num- ber or amount of earmarks in the next highway bill (set to be negotiated in 2009).

TABLE 3-9.1 Overview of the Federal Aid Highways Program16 Major Programs/ FY 2007 Spending Projects Explanation (bilions of dollars) Equity Bonus Program Provides additional funds to States 8.3 to ensure that all “donor states” receive at least a 92% return on their Federal fuel taxes by 2009 03_9part.qxp 11/20/07 10:25 AM Page 275

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Major Programs/ FY 2007 Spending Projects Explanation (bilions of dollars) Surface Transportation Flexible funds that may be used by 6.4 Program States or cities for highway, bridge, transit, and intracity or intercity bus transportation

National Highway Expenditures to continue building 6.1 System the nation’s 161,000-mile National Highway System (of which 47,000 roadways are part of the Interstate Highway System)

Interstate maintenance Finances projects to maintain 5.0 program the Interstate Highway System

Highway Bridge Replacement, rehab, and 4.117 Replacement and preventive maintenance Rehabilitation Program (HBRR)

“High Priority Projects” More than 5,000 earmarked 3.4 and “Projects of National congressional projects & Regional Significance”

Congestion mitigation Directs funds to projects aimed at 1.7 & air quality reducing ozone, carbon monoxide, improvement (CMAQ) and particulate matter

Highway safety Supports innovative approaches to 1.3 improvement reducing motor vehicle fatalities (42,642 in 2006)18

Other Includes highways on Federal lands, 3.4 Appalachian Highway System, transportation financing programs, “national corridors” to promote economic growth, emergency aid (e.g., the Minneapolis bridge collapse on August 1, 2007), and adjustments due to revenue flows (RABA19) and obligation limitations

TOTAL Federal Aid Highways Program (FY 2007) 39.7 03_9part.qxp 11/20/07 10:25 AM Page 276

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Public Transportation

FY 2007 Spending for Public Transportation: $9 billion

See www.GovBudget.com for updated numbers.

In a Nutshell The Highway Trust Fund, in addition to funding the Federal-Aid Highway program, also funds public transportation programs. SAFETEA-LU authorized $45 billion in funding for public transportation over the five-year authorization, including $9 billion for FY 2007.20 The Fed- eral Transit Administration (FTA) distributes these Federal fuel tax revenues to State and local governments for a variety of public transportation programs, ranging from new construction to maintenance. CBO projects that the Mass Transit Account in the Highway Trust Fund will be insolvent by 2012, due to the imbalance of slowly increasing fuel taxes and high rates of spending authorized in the highway bill.21

Background When Federal fuel taxes are deposited in the Highway Trust Fund, almost one-fifth of the funds are deposited in the Mass Transit Account. Table 3-9.2 provides a brief overview of the $9 billion authorized by SAFETEA-LU for public transportation grants in FY 2007.

TABLE 3-9.2 Overview of Public Transportation Funding22 Major Programs/ FY 2007 Spending Projects Explanation (billions of dollars) Urbanized Area Funds may be used by urban areas 3.6 Formula Grants for any transit capital projects; small cities can also use the funds for operating costs. Fixed guideway Funding for heavy and light rail, 1.4 modernization commuter trains, and ferryboat operations Major capital investment Major capital investment grants of 1.4 $75 million or more Bus and bus facility grants Grants for bus-related capital projects 0.9 Other formula and Includes grants for nonurban areas, 1.7 capital investment grants special needs, commuter needs, and transportation planning

TOTAL Public Transportation (FY 2007) 9.0 03_9part.qxp 11/20/07 10:25 AM Page 277

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Financing Air Traffic Control and Airport Improvements

FY 2007 Spending for Airports and Air Traffic Control: $14.5 billion

See www.GovBudget.com for updated numbers.

The current approach to managing air transportation is becoming increasingly inefficient and operationally obsolete....The Next Generation Air Transportation System ...will entail precision satellite navigation; digital, networked communications; an integrated weather system [and] layered, adaptive security.—Government Accountability Office, 200623

In a Nutshell The Federal Aviation Administration (FAA) operates and maintains the nation’s air traffic control system, and it provides grants to airports for improvements and expansion. With the nation’s air traffic expected to double or triple by 2025,24 Congress is examining a variety of financing options to pay for a next generation air traffic control system as well as major airport expansions.

Background The FAA’s activities are funded annually through the appropriations process. Most of the FAA’s funds are appropriated from the Aviation Trust Fund25 consisting of the 7.5% tax on passen- ger tickets, a tax on international arrivals and departures, and a tax on aviation fuel. General tax revenues pay for the remaining operations expenses not covered by Trust Fund revenues. Table 3-9.3 provides an overview of the FAA’s programs and funding sources.

Issue: Financing the New Air Traffic Control System and Airport Expansion There is an ongoing debate about whether to modify the current system for financing FAA operations and capital costs. The FAA and others have expressed concerns about the adequacy of the current funding stream, particularly in light of the resources required to launch a “next generation” air traffic control system by 2025 (called Next Generation Air Transportation Sys- tem, or NGATS). Estimates are that keeping NGATS development on track could cost up to $76 billion by 2025. However, achieving agreement on modifications to FAA funding is a for- midable political task. Policymakers must weigh and balance the interests of commercial air- lines versus general aviation (corporate and recreational aircraft). The airlines argue they bear a disproportionate share of the current financing system, with the largest source of current revenues derived from passenger ticket taxes. General aviation interests are typically opposed to changing the current financing structure. Other financing options that could be consid- ered include a user fee structure based on aircraft weight and distance flown—a system used by many nations.28 03_9part.qxp 11/20/07 10:25 AM Page 278

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TABLE 3-9.3 Overview of Aviation Spending in FY 200726 Major Programs, Projects, Activities FY 2007 Spending (and funding) Explanation (billions of dollars) FAA Operations & Supports the air traffic control 8.3 Maintenance system, enforcement of airline (2/3 funded by taxes and safety regulations, and fees paid into the aviation administrative costs. trust fund; 1/3 paid by general revenues)

Airport Improvement AIP funds are used to increase 3.5 Program (AIP) airport capacity with additional (funded by taxes and runways and terminal space, as well fees paid into the aviation as for safety, security, and noise trust fund) reduction. Airport improvements are also funded by non-Federal sources, including tax-exempt bonds, passenger facility charges, state and local grants, and airport revenue.

Facilities & Equipment F&E funds technological 2.5 (funded by taxes and fees improvements to the air traffic paid into the aviation control system; FAA and NASA are trust fund) leading a multiagency effort (known as “Vision 100”) to design and implement the Next Generation Air Transportation System (NGATS) aimed at accommodating up to three times the air traffic by making more efficient use of the nation’s airspace.27

Research, Engineering, These FAA projects are aimed at 0.1 & Development creating greater capacity, improving (funded by taxes and fees safety, and addressing environmental paid into the aviation concerns. trust fund)

TOTAL Aviation Programs (FY 2007) 14.5 03_9part.qxp 11/20/07 10:25 AM Page 279

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Amtrak

FY 2007 Spending for Amtrak: $1.3 billion

See www.GovBudget.com for updated numbers.

The current model for providing intercity passenger service continues to produce financial instability and poor service quality. Despite multiple efforts over the years to change Amtrak’s structure and funding, we have a system that limps along, is never in a state-of-good-repair, awash in debt, and perpetually on the edge of collapse. —Mark Dayton, Department of Transportation Inspector General29

In a Nutshell Amtrak is the only U.S. intercity passenger rail service. Amtrak is structured as an indepen- dent corporation (the National Railroad Passenger Corporation) but has a federally appointed Board, and virtually all of its shares are held by the Department of Transportation. Amtrak’s financial condition is described by the GAO as “precarious, requiring a federal subsidy of more than $1 billion annually.”30

Background Amtrak was established by Act of Congress in 1970 to provide a minimum level of national intercity passenger rail service—an area the private sector had found to be unprofitable. Amtrak operates 44 routes over 22,000 miles of track, almost all of which is owned by freight rail companies. Amtrak runs an operating loss each year, relying on Federal subsidies to con- tinue current operations. While subsidies have been substantial—over a billion dollars per year since 2003—they have not been sufficient to enable significant maintenance projects. 31 In recent reports to Congress, the GAO concluded that Amtrak:

• lacks a meaningful strategic plan with clear public goals by which to measure performance (such as mitigating transportation congestion); • cannot keep pace with its deteriorating infrastructure, despite the billion-dollar-plus Fed- eral subsidy; • lacks adequate data and financial controls on the purchase of goods and services; • maintains cross-country routes accounting for 15% of riders but 80% of financial losses; and • lacks the transparency, accountability, and oversight essential to achieving success because it is neither a publicly traded company nor a public entity.

In a separate report to Congress, CBO concluded that “there are only limited conditions under which passenger rail service in the United States could be economically viable without subsidies.”32 03_9part.qxp 11/20/07 10:25 AM Page 280

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Transportation Safety

FY 2007 Spending for Transportation Safety: $1.4 billion

See www.GovBudget.com for updated numbers

In a Nutshell The National Highway Transportation Safety Administration (NHTSA) is an educational, research, and regulatory agency within the Department of Transportation that conduct research and provides highway traffic safety grants. A separate agency at DOT, the Federal Motor Car- rier Safety Administration (FMCSA), is tasked with reducing crashes, injuries, and fatalities involving large trucks and buses. The National Transportation Safety Board (NTSB) is an inde- pendent agency that investigates all civil aviation accidents in the United States, as well as sig- nificant accidents in other modes of transportation (highway, marine, railroad, pipeline).

Background NHTSA, funded at $800 million per year, conducts research on motor vehicle safety, is devel- oping a system to enable States to communicate about dangerous drivers, and administers Highway Traffic Safety Grants to States. FMCSA, funded at $500 million, administers motor carrier safety grants, conducts research, and supports enforcement of truck safety regulations (in particular at the United States–Mexico border). The NTSB, funded at $78 million in FY 2007, was initially established as part of the Department of Transportation but in 1974 was transformed into an independent commis- sion in order to ensure independent assessments of DOT’s regulatory and oversight activities, as well as independent recommendations on avoiding future accidents. NTSB consists of a five-member board and a staff of 400. Recent concerns have been expressed about inadequate staffing at NTSB, particularly with regard to the percentage of small plane crashes it has been able to investigate.34

Notes

1. Lewis D. Eigen and Jonathan P. Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 666. 2. Other taxes include taxation of gasohol as well as a retail sales tax on trucks, heavy-vehicle use taxes, and a tax on truck tires. 3. Known as revenue aligned budget authority (RABA). 4. On August 10, 2005, President Bush signed the Safe, Accountable, Flexible, Efficient Trans- portation Equity Act-A Legacy for Users. 5. John W. Fischer, “SAFETEA-LU: Selected Major Provisions,”RL33119 (Washington, D.C.: Con- gressional Research Service, October 18, 2005), table 2. 6. In addition, the authorizing committees have attempted to ensure that all fuel taxes are expedi- tiously made available for the highway program by including in SAFETEA-LU a funding mechanism know as “revenue-aligned budget authority (RABA).”As explained by CBO, “under RABA, the Admin- 03_9part.qxp 11/20/07 10:25 AM Page 281

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istration estimates revenues for the highway account and compares those estimates with the revenue amounts anticipated in SAFETEA-LU and with the estimates made the previous years. On the basis of that comparison, the Administration . . . is required to adjust contract authority for programs funded from the highway account.” However, CBO explains, “the obligation limitations set in appropriations acts . . . do not necessarily reflect RABA adjustments.” Donald B. Marron, Deputy Director, Congres- sional Budget Office, Testimony before the Subcommittee on Highways and Transit, U.S. House of Rep- resentatives, March 27, 2007, 3. 7. P.L. 93-344, §401(c)(1)(B). 8. The highway bill itself also includes obligation limitations that reflect spending levels in that bill; however, the appropriators in the annual Transportation-HUD appropriations bill can modify those obligation limitations. 9. Marron, “Testimony,”1. 10. GAO, “Federal-Aid Highways: Trends, Effect on State Spending, and Options for Future Program Design,”GAO-04-802 (Washington, D.C.: Government Accountability Office, August 2004), 3. 11. See http://financecommission.dot.gov/index.htm. 12. Fischer, “SAFETEA-LU,”6–7. 13. See Robert Kirk and William Mallett, “Highway Bridges: Conditions and the Federal/State Role,” RL34127 (Washington, D.C.: Congressional Research Service, August 10, 2007), 5. 14. Eigen and Siegel, The Macmillan Dictionary of Political Quotations, 667. 15. Fischer, “SAFETEA-LU,”5–6. 16. Source for individual programs: Fischer, “SAFETEA-LU,” table 2; source for Federal-Aid High- ways total: Marron, “Testimony,”table 2. 17. Kirk and Mallett, “Highway Bridges,”7. 18. www.nhtsa.gov: “2006 Traffic Safety Annual Assessment,”July 2007. 19. See note 5 for an explanation of the RABA mechanism. 20. Fischer, “SAFETEA-LU,”34–35. 21. Marron, “Testimony,”1. 22. Source for individual programs: Fischer, “SAFETEA-LU,”table 2; source for Transit total spend- ing: OMB, FY 2008 Budget, Analytical Perspectives, table 27-1, adjusted to reflect FY 2007 joint funding resolution. 23. GAO, “Next Generation Air Transportation System,” GAO-07-25 (Washington, D.C.: Govern- ment Accountability Office, November 2006), 1. 24. Bert Elias, “Federal Aviation Administration,” RL33789 (Washington, D.C.: Congressional Research Service, January 9, 2007), 7. 25. Also known as the Airport and Airways Trust Fund, established by the Airport and Airway Rev- enue Act of 1970 (P.L. 91-258). 26. Source: David Peterman and John Frittelli, “Transportation-Treasury-HUD FY 2007 Appropria- tions,” RL33551 (Washington, D.C.: Congressional Research Service, June 4, 2007), table 4; and John Fisher,“Aviation Finance,”RL33913 (Washington, D.C.: Congressional Research Service, March 12, 2007). 27. P.L.108-176, the Vision 100—Century of Aviation Reauthorization Act, enacted in 2003, created the Joint Planning Development Office. 28. Elias, “Federal Aviation Administration,”1–2, 7. 29. Statement of Mark Dayton, DOT Inspector General, before the Senate Committee on Appro- priations, March 16, 2006, as cited by John Frittelli, “Amtrak: Budget and Reauthorization,” RL33492 (Washington, D.C.: Congressional Research Service, July 20, 2007), 2. 30. GAO, “Amtrak Management: Systemic Problems Require Actions to Improve Efficiency, Effec- tiveness, and Accountability,”GAO-06-145 (Washington, D.C.: Government Accountability Office, Octo- ber 2005), highlights. 03_9part.qxp 11/20/07 10:25 AM Page 282

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31. Peterman and Frittelli, “Transportation-Treasury-HUD FY 2007 Appropriations,”1. 32. CBO, “The Past and Future of U.S. Passenger Rail Service” (Washington, D.C.: Congressional Budget Office, September 2003), preface. 33. GAO: “Intercity Passenger Rail: National Policy and Strategies Needed to Maximize Public Ben- efits from Federal Expenditures,”GAO-07-15, November 2006; “Amtrak Management: Systematic Prob- lems Require Actions to Improve Efficiency, Effectiveness, and Accountability,” GAO-06-145, October 2005. 34. Sara Kehaulani Goo, “NTSB Goes to Fewer Crashes; Backlogged Investigators Pass on Small- Plane Accident Sites,” Washington Post, February 8, 2006, A17. 03_10part.qxp 11/19/07 7:26 PM Page 283

CHAPTER 3-10

Law Enforcement and Administration of Justice

he Department of Justice (DOJ), created in 1870, has a $23 billion budget that supports Tthe work of the Federal Bureau of Investigation, Drug Enforcement Administration, Bureau of Alcohol Tobacco and Firearms, Federal Prisons, Litigation Divisions and U.S. Attor- neys, the Office of Violence against Women, and a range of programs assisting State and local jurisdictions (see figure 3-9.1). This chapter surveys DOJ expenditures.

FIGURE 3-10.1 FY 2007 Law Enforcement and Justice Spending (billions of dollars)

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smargorP ecitsuJ smargorP 2.5

JOD & syenrottA .S.U syenrottA & JOD seitivitcA lageL seitivitcA 2.6 AED 1.8

FTA 1.0 slahsraM .S.U slahsraM metsyS nosirP laredeF nosirP metsyS 0.8 5.5

283 03_10part.qxp 11/19/07 7:26 PM Page 284

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The Federal Bureau of Investigation (FBI)

FY 2007 Spending for the FBI: $6.3 Billion FY 2007 Personnel: 12,500 Special Agents and 18,000 Support Staff

See www.GovBudget.com for updated numbers.

In a Nutshell The FBI is the nation’s primary Federal law enforcement agency responsible for protecting the United States from terrorist threats, enforcing the criminal laws of the United States, and providing leadership and support to Federal, State, local, and international law enforcement agencies.

Background President Theodore Roosevelt’s Administration established the FBI (originally known as the Bureau of Investigation) in 1908 as a force of Special Agents to fight crime and corruption dur- ing what historians came to call America’s Progressive Era. Over the ensuing years—during the 48-year directorship of J. Edgar Hoover—the FBI grew rapidly, assuming a broad set of respon- sibilities: investigating suspects who attempted to evade prosecution by crossing State lines; counterespionage, domestic intelligence, and enforcing the draft during wartime; tracking crim- inals by means of fingerprint identification records; fighting organized crime; conducting back- ground investigations on present and prospective government employees; using forensic science to assist state and local law enforcement agencies; and conducting civil rights investigations. During the post-Watergate era, the FBI focused its broad responsibilities on three pri- orities: foreign counterintelligence, organized crime, and white-collar crime.1 In 1982, fol- lowing the increase of terrorist incidents worldwide, FBI Director William H. Webster added counterterrorism as a fourth FBI priority. Webster also beefed up the FBI’s efforts to counter political corruption (as reflected in ABSCAM and other operations), as well as investigating financial fraud during the Savings & Loan crisis of the 1980s. In the late 1980s, drug inves- tigations and violent crime became the FBI’s fifth and sixth priorities. In the 1990s, FBI Director Louis Freeh forged strong international law enforcement partnerships with Euro- pean nations and the newly independent Russia to enhance efforts against terrorism, drug trafficking, and organized crime. At the end of the decade, the FBI’s National Infrastructure Protection Center was established to investigate cybercrimes.2 The September 11 terrorist attacks and subsequent recommendations of the 9/11 Com- mission led to major changes at the FBI. The foremost was realigning Bureau resources and personnel to counterterrorism—the new top priority. In FY 2007, more than one-third of the Bureau’s $6 billion budget is dedicated to counterterrorism.3

Issue: Has the FBI made Progress on Counterterrorism since 9/11? The 9/11 Commission reported that “in the summer of 2001, DCI Tenet, the Counterterrorist Center, and the Counterterrorism Security Group did their utmost to sound a loud alarm, its 03_10part.qxp 11/19/07 7:26 PM Page 285

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basis being intelligence indicting that al Qaeda planned something big. But . . . FBI field offices apparently saw no abnormal terrorist activity, and headquarters was not shaking them up.”4 Based on this failure, the Commission recommended the following:

A specialized and integrated national security workforce should be established at the FBI consisting of agents, analysts, linguists, and surveillance specialists who are recruited, trained, rewarded, and retained to ensure the development of an institutional culture imbued with a deep expertise in intelligence and national security.5

However, the Commission added a caveat:

Our recommendation to leave counterterrorism intelligence collection in the United States with the FBI still depends on an assessment that the FBI—if it makes an all-out effort to institutionalize change—can do the job.6

The paramount issue currently confronting the FBI is whether the Bureau has made swift and significant progress in realigning its resources and personnel to fulfill its lead responsi- bility in domestic counterterrorism. It should therefore be a matter of grave concern to all Americans that the 9/11 Commission, in its December 2005 follow-up “report card,” found that efforts to create an FBI national security workforce deserved a grade of “C”:

The FBI’s shift to a counterterrorism posture is far from institutionalized, and significant deficiencies remain. Reforms are at risk from inertia and complacency; they must be accelerated, or they will fail. Unless there is improvement in a reasonable period of time, Congress will have to look at alternatives.7

More recently, the GAO has reported deficiencies in the FBI’s efforts to launch “Sentinel,” a database designed to “meet the Bureau’s pressing need for a modern, automated capability to support its field agents and intelligence analysts’ investigative case management and infor- mation sharing requirements.”8 Sentinel is intended to replace the FBI’s failed Virtual Case File (VCF) program.

DEA, ATF, and U.S. Marshals Service

FY 2007 DOJ Spending for DEA: $1.8 billion • ATF: $1.0 billion • U.S. Marshals: $825 million

See www.GovBudget.com for updated numbers.

In a Nutshell In addition to the FBI, the DOJ is home to three smaller law enforcement organizations with highly defined missions. The Drug Enforcement Administration (DEA) is the lead Federal agency tasked with reducing the supply and abuse of illegal drugs through drug interdiction and seizing of revenues and assets from drug traffickers. In discharging these responsibilities, the 03_10part.qxp 11/19/07 7:26 PM Page 286

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DEA works closely with Federal, State, local, and foreign law enforcement officers. The Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) is the lead law enforcement agency charged with administering and enforcing Federal laws related to the manufacture, importa- tion, and distribution of firearms and explosives, as well as alcohol and tobacco. ATF also inves- tigates arson cases where there is a Federal interest involved. The U.S. Marshals Service (USMS) has broad law enforcement and judicial security responsibilities that include protecting judges, witnesses, and jurors, as well apprehending fugitives and seizing forfeited property.

Background Drug Enforcement Administration. The mission of the DEA is to enforce U.S. drug laws and to bring to justice organizations and individuals involved in growing, manufacturing, or dis- tributing illegal drugs. In practical terms, this includes investigating and apprehending major drug traffickers and members of drug gangs; managing a national drug intelligence program; seizing illegal drugs and assets connected with drug trafficking; coordinating drug enforce- ment investigations with Federal, State, and local agencies; and engaging in joint operations— such as crop eradication and substitution—with drug enforcement authorities in foreign countries. (DEA has 57 offices in foreign countries.) Much of DEA’s work is focused on the southwest border with Mexico, where they estimate 85% of illegal drugs are smuggled into the United States. DEA has nearly 11,000 employees, about half of whom are special agents. 9 The DEA’s $1.8 billion budget is reviewed as a part of the broader, multiagency National Drug Control Program Budget developed by the Director of the Office of National Drug Control Policy (ONDCP), located in the Executive Office of the Presi- dent.10 According to ONDCP, about two-thirds of the $12 billion National Drug Control Bud- get is expended to disrupt the supply of illegal drugs and about one-third on reducing demand. Bureau of Alcohol, Tobacco, Firearms, and Explosives. ATF was transferred in 2003 from the Treasury Department to the Department of Justice. As a law enforcement agency, ATF is tasked with investigating and reducing crime involving firearms and explosives, acts of arson,

STATUS: “THE WAR ON DRUGS” In 2006, an estimated 20.4 million Americans aged 12 or older were current illicit drug users, meaning they had used an illicit drug during the month prior to the survey inter- view. This estimate represents 8.3% of the population aged 12 years old or older.11

“Efforts to significantly reduce the flow of illicit drugs from abroad into the U.S. have so far not succeeded. Moreover, over the past decade, worldwide production of illicit drugs has risen dramatically: opium and marijuana production has roughly doubled and coca production tripled.”—Congressional Research Service12

The international Monetary Fund estimates that money laundering, the process drug traffickers use to conceal their drug money in legitimate financial markets, amounts to about $600 billion annually.13 03_10part.qxp 11/19/07 7:26 PM Page 287

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and illegal trafficking of alcohol and tobacco products. ATF also has regulatory authority cov- ering explosives storage facilities. More than 5.5 billion pounds of explosives are used each year in the United States by private sector and government entities. (ATF’s former tax collec- tion responsibilities remain in the Treasury Department.) The ATF operates numerous programs to fight gun and arson crimes. One program is the National Integrated Ballistic Information Network, which uses ATF’s Integrated Ballistic Iden- tification System (IBIS) to identify and compare gun crime evidence in Federal, State, and local criminal investigations. Another ATF program, the Violent Crime Impact Teams (VCIT), oper- ates in 22 cities nationwide to target gun crime “hot spots.”In addition to its domestic respon- sibilities, ATF frequently assists foreign governments investigating crimes involving explosives. U.S. Marshals Service. USMS is the nation’s oldest Federal law enforcement agency, dat- ing back to 1789 when it was established by the first Congress. During its first century, it had expansive and diverse responsibilities, including law enforcement in U.S. territories, taking the census, disseminating presidential proclamations, and protecting the borders. A major priority for the Service is protecting the nation’s Federal judiciary. There are 94 presidentially appointed U.S. Marshals, one for each Federal judicial district, supported by more than 3,000 deputy marshals. Among their current duties, marshals arrest more than half of all Federal fugitives (arresting more than 35,000 in 2005), protect Federal judges, operate the Wit- ness Security Program, transport Federal prisoners, and seize property acquired by criminals through illegal activities. Currently, a high-profile issue for USMS is improving security for Federal judges following the murders of family members of a Chicago Federal judge in 2005.

Federal Prison System

FY 2007 Spending for the Federal Prison System: $5.4 Billion

See www.GovBudget.com for updated numbers.

More people now live in U.S. prisons and jails than in Wyoming, Vermont, and Alaska combined.14

In a Nutshell The Justice Department’s Bureau of Prisons maintains Federal penal institutions nationwide.

Background As of 2007, there were nearly 194,000 Federal inmates in 114 penal institutions.15 However, this is only a fraction of the total prison population in the United States. According to the Bureau of Justice Statistics, as of June 2006, more than 2.2 million prisoners were held in Fed- eral or State prisons or in local jails.16 The U.S. prison population far exceeds that of any devel- oped nation, as reflected in table 3-10.1.17 Moreover, the U.S. prison population is projected to continue its rapid growth, with the number of Federal inmates projected to grow by 10% between 2007 and 2010. 03_10part.qxp 11/19/07 7:26 PM Page 288

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TABLE 3-10.1 U.S. Prison Population Rate Compared with Other OECD Nations Prison Population Rate: Number per 100,000 Population 1992 1998 2004 United States 505 669 725 Poland 153 148 210 Mexico 98 133 178 UK 90 125 139 Spain 90 114 138 OECD Average 102 122 132 Korea 130 152 121 Canada 123 126 107 Turkey 54 102 100 Italy 81 85 97 Germany 71 96 96 France 84 86 91 Greece 61 68 82 Switzerland 79 85 81 Sweden 63 60 81 Norway 58 57 65 Japan 37 40 58 Source: OECD Factbook 2007.

Issues Dividing the number of Federal inmates (about 200,000) into the $5.4 billion annual budget for the Bureau of Prisons, the current cost per Federal inmate is $27,000 per year. In order to incarcerate a Federal inmate for a 10-year sentence costs well over a quarter million dollars. The U.S. prison system rarely receives close scrutiny by Members of Congress or the media, yet many Federal prison issues deserve serious, sustained, and thoughtful examination:

1. Why is the U.S. prison population radically higher than that of any other developed nation? (Snapshot of U.S. prison population: According to the Bureau of Justice statis- tics, in 2003: Fifty-two percent of State inmates were incarcerated for violent crimes, 21% for property crimes, 20% for drug crimes, and 7% for public-order crimes.18 By contrast, more than half of all Federal inmates are incarcerated for drug offenses.19) 2. Considering the staggering public costs of incarcerating 200,000 Federal inmates and more than 2.2 million total inmates, might there have been effective ways to invest pub- lic funds early in the lives of these inmates in ways that could have avoided at least some of the criminal activity? Are there better ways to facilitate reentry into society that could reduce the recidivism rate? With regard to drug offenders, compare the $27,000 per year incarceration cost with the $6,800 cost for long-term residential drug treatment.20 3. Another ongoing issue deserving the attention of policymakers is prison overcrowding. Bureau of Prisons facilities are estimated to be operating at 36% above capacity in FY 2007.21 03_10part.qxp 11/19/07 7:26 PM Page 289

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United States Attorneys and DOJ Legal Activities

FY 2007 Spending on General Legal Activities and U.S. Attorneys: $2.3 Billion

See www.GovBudget.com for updated numbers.

In a Nutshell The litigating divisions at the DOJ and the 94 U.S. Attorneys offices located throughout the United States enforce Federal criminal laws and represent the U.S. government in civil litiga- tion where the Federal government is a party.

Background DOJ’s budget for the 94 U.S. Attorneys offices in each of the Federal judicial districts is $1.7 billion. Each U.S. Attorney is the chief Federal law enforcement officer within his or her Federal judicial district. U.S. Attorneys and their staffs of Assistant U.S. Attorneys (AUSAs) handle a broad range of litigation, including white-collar crime, health care and other program fraud, firearms crimes, public corruption, organized crime, drug trafficking, international and domes- tic terrorism, crimes against children, immigration violations, discrimination cases, bank- ruptcies, and Habeas Corpus cases in which the U.S. is defending the detention of an individual. DOJ’s $700 million budget for “general legal activities” supports the operations of the lit- igating divisions at “main Justice,” which are the Antitrust Division, Civil Division (which handles commercial, consumer, immigration, tort, and other litigation involving Federal pro- grams), Civil Rights Division, Criminal Division, Environment and Natural Resources Divi- sion, and Tax Division.

Justice Programs: Grants for State and Local Law Enforcement

FY 2007 Spending on Justice Grant Programs: $2.5 Billion

See www.GovBudget.com for updated numbers.

There is one transcendent advantage belonging to the province of the State governments, which alone suffices to place the matter in a clear and satisfactory light—I mean the ordi- nary administration of criminal and civil justice.—Alexander Hamilton, Federalist No. 17

In a Nutshell As highlighted by Alexander Hamilton more than two centuries ago, States and localities have the primary responsibility for crime prevention and law enforcement, while the Federal gov- ernment’s role is limited. The Department of Justice assists State and local law enforcement agencies through a variety of “Justice programs.” 03_10part.qxp 11/19/07 7:26 PM Page 290

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Background The State and Local law enforcement assistance program, funded at $1.3 billion, provides grants, training, and technical assistance to State and local governments to assist them in addressing violent crime, criminal gang activity, and illegal drug activity. Included in this funding is the Violent Crime Reduction Partnership Initiative, aimed at reducing violent crime by forming multijurisdictional law enforcement partnerships, and the Byrne Program, which is a flexible grant program. The Office of Violence against Women administers a competitive grants program, funded at nearly $400 million, designed to support State and local efforts aimed at prevention and prosecution of domestic violence, dating violence, sexual assault, and stalking. The Community Oriented Policing Services (COPS) program, established in 1994 and funded at more than $500 million in FY 2007, awards grants to State and local law enforce- ment agencies for hiring and training additional police officers in order to advance commu- nity policing. Juvenile Justice programs, funded at $338 million, support State and local efforts designed to reduce juvenile delinquency and crime, protect children from sexual exploitation, and pro- vide treatment and rehabilitative services tailored to the needs of juveniles and their families. The DNA Initiative, funded at over $100 million, is aimed at advancing the use of DNA to solve crimes, protect the innocent, and identify missing persons. The Weed and Seed program, funded at $50 million, supports community-based cooper- ative strategies designed to reduce violent crime, drug abuse, and gang activity. Smaller programs include Drug Courts aimed at judicially supervised rehabilitation of nonviolent offenders; the Prisoner Re-entry Initiative designed to help nonviolent offenders return to their communities; and the Paul Coverdell Grant Program that assists state and local governments with improving the use of forensic sciences in law enforcement.

Notes

1. “White collar crime refers to non-violent fraudulent enterprises committed by persons while engaged in legitimate occupations.” Todd Masse and William Krouse, “The FBI: Past, Present, and Future,”RL32095 (Washington, D.C.: Congressional Research Service, October 2, 2003), 32. 2. History of the FBI, http://www.fbi.gov/libref/historic/history/historymain.htm. 3. Derived from data in OMB, FY 2008 Budget of the United States, Analytical Perspectives (Wash- ington, D.C.: Office of Management and Budget, February 2007), table 3.5. 4. 9/11 Commission, Final Report of the National Commission on Terrorist Attacks upon the United States (New York: Norton, 2004), 359. 5. 9/11 Commission, Final Report, 425–26. 6. 9/11 Commission, Final Report, 424. 7. Final Report on 9/11 Commission Recommendations, December 5, 2005, www.9-11pdp.org. 8. GAO, “FBI Following a Number of Key Acquisition Practices on New Case Management System, but Improvements Still Needed,”GO-07-912 (Washington, D.C.: July 2007), highlights. See also GAO, “FBI Needs to Address Weaknesses in Critical Network,”GAO-07-368 (Washington, D.C.: April 2007); and GAO, “FBI Has Largely Staffed Key Modernization Program, but Strategic Approach to Managing Program’s Human Capital Is Needed,”GAO-07-19 (Washington, D.C.: October 2006). 9. http://www.dea.gov/agency/staffing.htm. 03_10part.qxp 11/19/07 7:26 PM Page 291

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10. Mark Eddy, “War on Drugs: Reauthorization of the Office of National Drug Control Policy,” RL32352 (Washington, D.C.: Congressional Research Service, January 31, 2007), 12–13. 11. SAMHSA: http://www.oas.samhsa.gov/nsduh/2k6nsduh/2k6Results.pdf. 12. Raphael Perl, “Drug Control: International Policy and Approaches,”IB88093 (Washington, D.C.: Congressional Research Service, February 2, 2006), summary page. 13. DEA: http://www.dea.gov/programs/moneyp.htm. 14. Eric Lotke and Peter Wagner, “Prisoners of the Census: Electoral and Financial Consequences of Counting Prisoners Where They Go, Not Where They Come From,” Pace Law Review 24, no. 587: 588. 15. William Krouse, “Commerce, Justice, Science, and Related Agencies: FY 2008 Appropriations,” RL34092 (Washington, D.C.: Congressional Research Service, September 7, 2007), 38. 16. http://www.ojp.usdoj.gov/bjs/prisons.htm. 17. Organisation for Economic Co-Operation and Development, OECD Factbook 2007 (Paris: 2007). 18. http://www.ojp.usdoj.gov/bjs/prisons.htm. 19. U.S. Department of Justice, “State of the Bureau: 2005” (Washington, D.C.: Federal Bureau of Prisons, 2005), 51. 20. See Larry Schulenberg, “Are We Getting Our Money’s Worth?” Federal Prison Policy Project, www.fppp.org, June 2005, 6. 21. Krouse, “Commerce, Justice, Science,”38. 03_10part.qxp 11/19/07 7:26 PM Page 292 03_11part.qxp 11/20/07 10:25 AM Page 293

CHAPTER 3-11

Environment, Energy, and Natural Resources

We are prone to speak of the resources of this country as inexhaustible; this is not so. —President Theodore Roosevelt, 19071

he budget for environment, energy, and natural resources for FY 2007 was $35 billion, Tfunding the Environmental Protection Agency, energy research, regulation of nuclear power, the Forest Service and National Park Service, the Fish and Wildlife Service, and related programs.

FIGURE 3-11.1 Environmental Protection Agency Spending (billions of dollars)

rehtO 0.2 seitinummoC yhtlaeH seitinummoC & noitavreserP dnaL noitavreserP & 1.2 gnidulcni( noitarotseR gnidulcni( )dnufrepuS FY 2007 EPA spending 1.6 allocated among EPA’s five major goals: clean water, clean air, healthy communities, land preservation and ecnailpmoC restoration, and com- 0.7 pliance initiatives.

retaW naelC retaW 2.9 riA naelC riA 0.9

293 03_11part.qxp 11/20/07 10:25 AM Page 294

294 AMERICA’S PRIORITIES

Environmental Protection Agency

FY 2007 Spending for the EPA: $7.7 Billion

See www.GovBudget.com for updated numbers.

In a Nutshell The core functions of the Environmental Protection Agency (EPA) include regulatory, research, and grant programs to serve as the public’s advocate for clean air, clean water, cleanup of hazardous wastes, and control of toxic substances.

EPA’s Spending by FY 2007 Budget Budget Item Purpose of Spending Authority Grants to States Two-thirds of this grants funding is used to $3.2 billion capitalize the Clean Water and Safe Drinking Water Revolving Funds, which make low-interest loans to States (and Indian tribes) for construction of wastewater treatment and safe drinking water infrastructure. Environmental This appropriation supports programs on $2.4 billion programs and each of EPA’s five core goals: clean air, clean management water, land preservation and restoration, assisting communities at risk, and compliance with environmental laws. Superfund Congress established the “Superfund” to $1.2 billion clean up contamination of sites that pose significant threats to health and the environment. Superfund pays for cleanup of sites where no financially viable responsible party can be identified or located. Science and Science and tech programs fund research $764 million technology and technology to provide a scientific basis for EPA’s clean air, clean water, and other environmental regulations. Leaking Provides funds to remediate leaks from $100 million Underground underground petroleum tanks. The Trust Storage Tank Fund is financed by a 0.1 cent per gallon Trust Fund tax on motor fuels. 03_11part.qxp 11/20/07 10:25 AM Page 295

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EPA’s Spending by FY 2007 Budget Budget Item Purpose of Spending Authority Other spending Includes Office of Inspector General, and $90 million buildings & facilities TOTAL EPA Budget Authority (FY 2007) $7.7 billion2

See www.GovBudget.com for updated numbers.

Background As reflected in figure 3-11.1, EPA’s state grants, environmental programs, and other expendi- tures are aimed at five major environmental goals:

1. Clean air activities include research to provide a scientific basis for EPA’s national air qual- ity standards and to understand effects of air pollutants on human health, development of technologies for cleaner and more efficient cars, programs aimed at reducing the quan- tity of toxic air pollutants emitted from industrial and manufacturing processes, efforts to improve indoor air quality, and competitive grants to locales that have not achieved National Air Quality Standards. 2. Clean and safe water activities include research to provide a scientific basis for EPA’s water quality and safe drinking water standards, strategies to protect the U.S. water supply, pro- grams to promote cost-effective solutions to local and regional water problems, and grants to capitalize the Clean Water State Revolving Funds (SRFs) and Drinking Water SRFs, which provide low-interest loans for construction of wastewater treatment and safe drink- ing water infrastructure. 3. Land preservation and restoration includes research to advance EPA’ ability to accurately assess risks posed by contaminated sediments and to study the spread of contaminants through groundwater; programs to reduce waste generation at its source, recycle waste, prevent spills of toxic materials, clean up contaminated properties, and reduce leakage from underground storage tanks; and grants to assist States in implementing hazardous waste programs. Included in this area is EPA’s Superfund Program, established to clean up contamination at sites that pose significant threats and where no financially viable respon- sible party can be identified or located. 4. Healthy Communities includes efforts to protect or restore the health of communities through research on pesticides, mercury, and other toxic substances; programs to develop safer chemicals; and grants to States to restore bodies of water, reduce exposure to lead, and support “Brownfields” projects (tracts of land developed for industrial purposes, pol- luted, then abandoned). 5. Compliance includes EPA’s efforts to improve environmental performance through incen- tives to governments, businesses, and the public; programs to prevent pollution-at-the- source; collaboration with industry to build pollution prevention into the design of new manufacturing processes; and grants to States to promote compliance with environmental laws. 03_11part.qxp 11/20/07 10:25 AM Page 296

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Energy Programs

FY 2007 Spending on (nondefense) Energy Programs: $8.3 billion

See www.GovBudget.com for updated numbers.

In a Nutshell Nearly two-thirds ($16 billion) of the Department of Energy’s (DOE) $24 billion budget is appropriated for defense-related nuclear weapons activities (reviewed in chapter 3-1). The remaining one-third ($8 billion) is dedicated to civilian energy programs, including sophis- ticated research on a broad range of alternative energy sources (e.g., hydrogen, biofuels, solar, wind, geothermal, hydro/ocean energy), new technologies to improve productivity and reduce emissions and waste from fossil fuels and nuclear power, and incentives to expand the use of nuclear power as one means of addressing global warming.

Background As reflected in table 3-11.1, the $8.3 billion in nondefense expenditures by the Department of Energy consists of $6.5 billion in basic science and energy research, $1.1 billion in associated environmental cleanup costs, and $164 million to maintain the Strategic Petroleum Reserve.

TABLE 3-11.1 Department of Energy Programs (Nondefense)3 FY 2007 Budget Energy Budget Item Purpose of Spending Authority Office of Science Conducts basic scientific research in six $3.797 billion (Basic Research) program areas: • Basic energy sciences ($1.3 b); • High-energy physics ($752 m); • Biological and environmental research ($484 m); • Nuclear physics ($423m); • Fusion energy sciences ($319m); and • Advanced scientific computing ($283 m) Energy efficiency The EERE program is aimed at reducing $1.474 billion and renewable America’s dependence on imported energy energy (EERE) by developing renewable fuels (e.g., hydrogen, biofuels, solar, wind, geothermal, hydro/ocean energy) and improving energy efficiency of vehicles and buildings. Electricity delivery Energy storage technologies in support of $137 million and energy intermittent wind and solar power reliability production. 03_11part.qxp 11/20/07 10:25 AM Page 297

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TABLE 3-11.1 Department of Energy Programs (Nondefense) (Continued) FY 2007 Budget Energy Budget Item Purpose of Spending Authority

Fossil energy A significant portion of this R&D is related $593 million R&D to high-tech coal utilization, including “clean coal” technologies that capture greenhouse gases. Nuclear energy R&D intended to secure nuclear energy $482 million as a long-term viable commercial energy option; also includes assistance with costs of regulatory approval to incentivize new reactors. SUBTOTAL: Energy Research & Development $6.5 billion

Uranium Funds projects to decontaminate and $557 million decontamination remediate plants at Portsmouth, Ohio; and Peducah, Kentucky; and Oak Ridge, decommissioning Tennessee. Nondefense DOE’s expenditures for managing the $350 million environmental environmental cleanup of fossil energy cleanup project sites. Nuclear waste Funds to develop a deep geologic nuclear $99 million4 disposal waste repository at Yucca Mountain, (Office of Nevada. The long-delayed project is now Civilian aiming to be operational in 2017. Radioactive Waste Management) Other Includes Legacy Management (long-term $61 million monitoring of sites) and other smaller programs. SUBTOTAL: Environmental Cleanup Subtotal $1.1 billion Strategic Petroleum Created in response to the 1973–1974 Arab $164 million Reserve oil embargo; about 700 million barrels are stored in hollowed-out salt domes in Louisiana and Texas. Other Other nondefense expenditures by the $583 million Department of Energy, including Power Marketing Administrations.5 TOTAL Budget Authority: (Nondefense) DOE Programs (FY 2007) $8.3 billion

See www.GovBudget.com for updated numbers. 03_11part.qxp 11/20/07 10:25 AM Page 298

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Federal energy expenditures also include the activities of the Nuclear Regulatory Com- mission (NRC) and the Federal Energy Regulatory Commission (FERC). The NRC, with a budget of more than $800 million, is an independent regulatory agency that formulates policies and regulations governing the civilian use of nuclear materials, and licenses and oversees nuclear power plants. A less visible agency for the last 30 years, NRC’s activities are now increasing as it reviews the first applications for new nuclear power plants since the 1970s. Nuclear power, which currently generates one-fifth of U.S. electricity, is increasingly being considered as an alternative to burning fossil fuels, given the growing con-

FEDERAL EXPENDITURES ON BASIC SCIENCE, RESEARCH AND DEVELOPMENT The more than $5 billion spent by the Energy Department’s Office of Science and the EERE program is a major component of the Federal Government’s investment in basic science and research. The other major Federal investments in science and research are conducted by

• The Department of Defense with an RDT&E budget of $77 billion;8 • The National Institutes of Health (NIH), with a budget of $28.8 billion;9 • The National Aeronautics and Space Administration (NASA) with a “science, aero- nautics, and exploration” budget of $9.1 billion;10 • The National Science Foundation (NSF), which supports basic science with a research budget of about $4.6 billion;11 • The National Oceanic and Atmospheric Administration (NOAA), an agency in the Department of Commerce, which invests nearly $800 million in research to under- stand and predict changes in the Earth’s environment;12 • The U.S. Geological Survey (USGS), an agency in the Department of Interior, which invests more than $500 million annually in research on changing terrain, geologic hazards, and water resources;13 and • The National Institute of Standards and Technology (NIST), an agency in the Department of Commerce, which invests more than $600 million annually devel- oping measurement standards essential to many areas of research, development, and engineering.14 • Other research is conducted by the Departments of Agriculture ($2.6 billion), Home- land Security ($1.2 billion), Transportation ($800 million), and EPA ($600 million).15

While the combined resources of these agencies and programs amounts to more than $130 billion annually, there is an ongoing and vigorous debate among policy- makers and researchers about whether the U.S. is making a sufficient investment in basic science and research. The National Academy of Sciences recently reported to Congress that “in a world where advanced knowledge is widespread and low-cost labor is readily available, U.S. advantages in the marketplace and in science and technology have begun to erode. A comprehensive and coordinated federal effort is urgently needed to bolster U.S. competitiveness and pre-eminence in these areas.”16 03_11part.qxp 11/20/07 10:25 AM Page 299

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cerns about global warming. In addition, nuclear power is increasingly attractive economi- cally due to improving reactor efficiency, higher prices for natural gas, pollution abatement requirements that could be imposed on coal, and tax incentives and loan guarantees included in the Energy Policy Act of 2005.6 However, a vexing issue that continues to complicate the nuclear energy debate is whether the proposed Yucca Mountain nuclear waste repository can safely sequester nuclear waste for thousands of years.7 FERC, an independent agency within the Department of Energy, regulates key interstate aspects of the electric power, natural gas, oil pipeline, and hydropower industries. FERC’s costs are covered by fees paid by regulated businesses.

Natural Resources: Stewardship of Public Lands, Waterways, and Wildlife In a Nutshell The Federal Government owns 672 million acres—30% of the land in the United States—most of which is in the West and Alaska. Four agencies administer nearly all of this land: the Forest Service, the National Park Service, the Bureau of Land Management, and the Fish and Wildlife Service, with combined budgets totaling more than $10 billion. The responsibility for main- taining and improving U.S. waterways belongs to the Army Corps of Engineers. The management of “offshore” Federal lands (the Outer Continental Shelf) belongs to the Minerals Management Service. The Fish and Wildlife Service protects fish, wildlife, plants, and their habitats.

Background As reflected in figure 3-11.2, seven Federal agencies share the responsibilities for stewardship of America’s vast natural resources:17

• The Forest Service (FS), located in the Department of Agriculture, manages a network of 155 National Forests covering 192 million acres—more than one-quarter of all public lands. The annual Forest Service budget is $4.8 billion, which funds the administration of FS lands for multiple uses, including recreation, logging, grazing, watershed protection, and fish and wildlife protection. More than $2 billion is dedicated to fighting forest fires. • The National Park Service (NPS), in the Department of the Interior (DOI), administers 79 million acres of parkland. Park visits total 271 million annually. The NPS $2.3 billion budget includes park operations, U.S. Park Police, recreation and preservation, con- struction, and land acquisition. • The Bureau of Land Management (BLM), in DOI, administers 262 million acres of pub- lic lands (13% of total U.S. land) used for energy and mineral development, logging, live- stock grazing, fish and wildlife habitat, wilderness preservation, archaeological research, and recreation. BLM’s annual budget is $1.9 billion. • The Fish and Wildlife Service (FWS), in DOI, works to ensure the conservation and pro- tection of fish, wildlife, plants, and their habitats through oversight of the 95-million- acre National Wildlife Refuge System and implementation of the Endangered Species Program. The annual FWS budget is $1.3 billion. 03_11part.qxp 11/20/07 10:25 AM Page 300

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FIGURE 3-11.2 FY 2007 Spending on Stewardship of Natural Resources (billions of dollars)

slareniM tnemeganaM ecivreS 0.16 ecivreS tseroF ecivreS 4.8 stcejorP retaW stcejorP fo sproC( fo )sreenignE 6.9

kraP lanoitaN kraP ecivreS 2.3 fo uaeruB fo noitamalceR uaeruB fo dnaL efildliW & hsiF & efildliW 1.0 tnemeganaM ecivreS 1.8 1.3

See www.GovBudget.com for updated numbers

• The Bureau of Reclamation, in DOI, constructs dams, power plants, and canals. With a budget of nearly $1 billion, the Bureau is the largest wholesaler of water in the country and the second-largest producer of hydroelectric power in the western United States. • The Minerals Management Service (MMS), in DOI, administers leasing of offshore Fed- eral lands (the Outer Continental Shelf) for extraction of oil, gas, and other minerals. The MMS annual budget is $160 million. • The Army Corps of Engineers, in the Department of Defense,18 is responsible for main- taining and improving the nation’s waterways. With a budget of nearly $7 billion in FY 2007,19 the Corps’ original mission of improving and maintaining navigable channels has been expanded to include flood control, emergency and disaster response, environmen- tal restoration, and municipal water infrastructure.20 Many projects require cost shar- ing with state and local entities; depending on the type of project, the Federal share can range from 40% to 100% of project costs.21 (The Corps’ budget also has the distinction of being the most heavily earmarked budget of the Federal government; see chapter 2-8 on congressional earmarks).

Notes

1. Lewis Eigen and Jonathan Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 164. 2. David Bearden and Robert Esworthy, “EPA: FY 2007 Appropriations Highlights,”RS22386 (Wash- ington, D.C., Congressional Research Service, June 1, 2007), 2. 03_11part.qxp 11/20/07 10:25 AM Page 301

ENVIRONMENT, ENERGY, AND NATURAL RESOURCES 301

3. Source: Carl Behrens, “Energy and Water Development: FY 2008 Appropriations,” RL34009 (Washington, D.C.: Congressional Research Service, July 13, 2007). 4. The defense nuclear waste disposal program spent $347 million on the Yucca mountain project, which will serve as a nuclear waste depository for both civilian and defense nuclear waste. Behrens, “Energy and Water Development,”29. 5. Other nondefense expenditures include Power Marketing Administrations (PMAs), Inspector General, General Administration, Energy Information, Northeast Home Heating Oil Reserve, and Naval Petroleum and Oil Shale Reserves. Behrens, “Energy and Water Development,” table 7. DOE operates four PMAs that sell wholesale electric power to publicly or cooperatively owned utilities. Nic Lane, “Power Marketing Administrations: Background and Current Issues,”RS22564 (Washington, D.C.: Con- gressional Research Service, January 3, 2007), 1. 6. Larry Parker and Mark Holt, “Nuclear Power: Outlook for New U.S. Reactors,”RL33442 (Wash- ington, D.C.: Congressional Research Service, March 9, 2007), summary page. See also Mark Holt, “Nuclear Energy Policy,”RL33558 (Washington, D.C.: Congressional Research Service, July 12, 2007). 7. See Mark Holt, “Civilian Nuclear Waste Disposal,” RL33461 (Washington, D.C.: Congressional Research Service, July 9, 2007). 8. See table 3-1.1. 9. See table 3-6.7 and figure 3-6.3. 10. The total NASA budget is $16.3 billion. In addition to the science and aeronautics budget, NASA has an “exploration” budget of $6.2 billion that funds space operations, including the space shuttle, the International Space Station, and space and flight support. 11. NSF supports science and engineering and funds basic research, most of which is conducted at U.S. universities. NSF supports the construction of research facilities and equipment, including super- computer centers, earth simulators, and observatories. Source for the $4.6 billion figure: Michael Davey, “Federal Research and Development Funding: FY 2007,” RL33345 (Washington, D.C.: Congressional Research Service, March 13, 2007), 21. 12. The mission of NOAA is to understand and predict changes in the Earth’s environment and conserve and manage coastal and marine resources to meet our nation’s economic, social, and envi- ronmental needs. Source for the $800 million figure: Davey, “Federal Research and Development Fund- ing,” 26. 13. The USGS provides research and scientific data to support the Interior Department’s manage- ment of U.S. land and water resources. USGS focuses on changing terrain, geologic hazards, water resources, and management of biological resources. 14. The National Institute of Standards and Technology researches measurement standards and pro- vides standard reference materials for U.S. industry and researchers. Programs include the Center for Neutron Research and the Center for Nanoscale Science and Technology. 15. Davey, “Federal Research and Development Funding,”tables 1, 7, 10, and 12. 16. National Academy of Sciences, “Rising above the Gathering Storm: Energizing and Employing America for a Brighter Economic Future,” 2007, available online at www.nap.edu/catalog.php?record _id=11463#description. 17. See Carol Hardy Vincent, “Federal Land Management Agencies: Background on Land and Resources Management,”RL32393 (Washington, D.C.: Congressional Research Service, August 2, 2004). 18. While operating as part of the Army, the Corps has a largely civilian workforce. Nicole Carter and Betsy Cody, “The Civil Works Program of the Army Corps of Engineers: A Primer,”RS20866 (Wash- ington, D.C.: Congressional Research Service, September 20, 2006), 1. 19. Including FY 2007 supplemental appropriations. 20. Carter and Cody, “The Civil Works Program of the Army Corps of Engineers,”1. 21. Carter and Cody, “The Civil Works Program of the Army Corps of Engineers,”table 1. 03_11part.qxp 11/20/07 10:25 AM Page 302 03_12part.qxp 11/19/07 7:35 PM Page 303

CHAPTER 3-12

Farm Programs

Were we directed from Washington when to sow, and when to reap, we should soon want bread. —Thomas Jefferson, 18211

FY 2007 Spending on Farm Programs: $29 billion

See www.GovBudget.com for updated numbers.

s reflected in the quote from Thomas Jefferson, the debate over the appropriate amount Aof Federal involvement in the agricultural sector is as old as the Republic. Currently, the Department of Agriculture (USDA) provides substantial support to farmers in the United States through a variety of farm programs, including three types of commodity payments aimed at stabilizing farm income; conservation programs to protect soil, water, and other nat- ural resources; marketing and export promotion programs; crop insurance to protect against crop failure; direct and guaranteed loans; and disaster relief (see figure 3.12-1). The commodity programs, crop insurance, and most of the conservation programs are mandatory spending; that is, the spending levels are determined directly by authorizing legis- lation, without going through the annual appropriations process. The relevant authorizing leg- islation is the multiyear “Farm Bill” drafted about every five years by the authorizing committees in the House and Senate (the House Agriculture Committee and the Senate Agri- culture Nutrition and Forestry Committee). The remaining programs are discretionary spend- ing, with spending levels set by the annual Agriculture-Rural Development-FDA Appropriations bill.3

Commodity Programs: Farm Price and Income Supports In a Nutshell The Commodity Credit Corporation (CCC), located in the Department of Agriculture (USDA), makes farm commodity payments to stabilize farm income which is vulnerable to the

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FIGURE 3-12.1 FY 2007 Spending on Farm Programs (billions of dollars)2 rehtO 2.9 larutlucirgA * larutlucirgA diA dooF & edarT & dooF diA * ytidommoC 1.7 :troppuS F mra emocni & ecirp & emocni retsasiD 7002 retsasiD troppus smargorp feileR 8.6 3.0

& hcraeseR & noitacudE mraF tiderC 2.5 0.2

noitavresnoC * noitavresnoC smargorP ecnarusnI porC * porC ecnarusnI 4.6 4.4 gnitekraM & yrotalugeR smargorP 1.0

[* includes mandatory spending]

agriculture sector’s inherently unstable prices and production. There are three types of com- modity payments estimated to cost $8.6 billion4 in FY 2007: (1) direct payments, (2) coun- tercyclical payments, and (3) marketing assistance loans.

Background Why does the farm sector receive special assistance? The economic justification for Federal price supports for farm commodities, in contrast to other goods and services, is that farm markets

do not efficiently balance commodity supply with demand. Imbalances in agricultural markets develop because consumers do not respond to price changes by buying propor- tionally smaller or larger quantities and, similarly, farmers do not respond to price changes by proportionally reducing or increasing production. The imbalances then often result in inadequate or exaggerated resource adjustments by farmers. The imbalances are further exacerbated by the long time lag between crop planting (or livestock breeding) and harvest, during which economic and yield conditions may dramatically change.5

The farm commodity programs were therefore enacted to stabilize and support farm incomes by shifting some of the risks of market fluctuations to the Federal government. 03_12part.qxp 11/19/07 7:35 PM Page 305

FARM PROGRAMS 305

THE COMMODITY CREDIT CORPORATION The USDA’s Commodity Credit Corporation (CCC) is not a program; rather, it is a fund- ing mechanism. USDA’s commodity price and income support programs, as well as cer- tain conservation and trade programs, are funded by CCC which has a $30 billion line of credit with the United States Treasury. CCC receives an annual appropriation to replen- ish its line of credit. CCC’s line of credit allows USDA programs to operate smoothly and without delay, despite the fact that commodity program price and income supports— which are tied to rapidly changing market prices—cannot be accurately projected in advance.

Commodity price supports are concentrated in five commodities: corn, cotton, soybeans, wheat, and rice (accounting for over 85% of government commodity payments).6 In order to receive payments, individuals must share in the risk of producing a crop and comply with land and resource conservation requirements (discussed later). Commodity program outlays vary dramatically from year to year because the payments are used to compensate for highly variable commodity prices. For example, outlays for corn price supports varied from a recent low of $1.4 billion in FY 2003 to a high of $8.9 billion in FY 2006.7 However, in FY 2007, corn price supports dropped by almost half because of higher crop prices resulting from strong demand from abroad, increased demand for ethanol, and crop damage due to bad weather.8 There are three types of farm commodity payments:

1. Annual direct payments based on historical production (unrelated to current production or prices); 2. Countercyclical payments, adopted in the 2002 farm bill, are triggered when prices fall below target prices; and 3. A marketing assistance loan program that effectively guarantees a minimum price for the crop. (Producers take out marketing loans at harvest using their crops as collateral. The amount of the loan is tied to a minimum price for the crop. If the market price subse- quently drops below the minimum, CCC covers the shortfall through partial forgiveness of the loan.)

Each commodity payment has an annual payment limit per farm or farmer, but as a practi- cal matter, the limits are not effective because large farms can be reorganized into separate entities to circumvent the limits.9 Farm price supports are controversial for a number of reasons. In some years they can be very expensive (nearly $17 billion in 2006); payments are concentrated among a rela- tively small number of large agribusinesses (in 2005, about 55,000 farms with sales over $500,000 received $5.7 billion)10; price supports for milk11 and sugar12 maintain prices above market levels; some of the payments may conflict with international agreements prohibiting subsidies (although the 2002 Farm Bill gave the Secretary of Agriculture authority to make 03_12part.qxp 11/19/07 7:35 PM Page 306

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adjustments in domestic commodity support payments when needed to comply with Uruguay Round13 Trade Agreements).14

Conservation Programs In a Nutshell Conservation programs, with an FY 2007 budget of $4.6 billion, are designed to protect soil, water, wildlife, and other natural resources on the nation’s vast agricultural lands. The Nat- ural Resources Conservation Service (NRCS) and the Farm Service Agency (FSA) in the USDA administer 20 distinct conservation programs that provide technical or financial assistance to farmers who wish to practice conservation on their agricultural lands. Unlike commodity pay- ments which tend to be concentrated among large producers, conservation payments tend to go to smaller and midsized producers.15

Background Most of the USDA’s conservation programs respond to existing resource problems. Some of the conservation funding is used to pay landowners to retire land from production for a period of time. Other funding is aimed at improving resource conditions through contour farming, nutrient management, controlling soil erosion, groundwater and wetlands conser- vation, grasslands conservation, wildlife habitat protection, tree planting, pest control, irri- gation, and waste management. The largest conservation programs are:

• The Conservation Reserve Program, a $2 billion program that pays farmers to replace crops on highly erodible and environmentally sensitive land with long-term resource conser- vation plantings; • The Environmental Quality Incentives Program (EQIP), a $1.0 billion program that pro- vides Federal cost sharing support to farmers and land owners for implementing con- servation practices16; and •The Conservation Operations and Technical Assistance Program, with over $760 million,17 which provides technical assistance for conservation planning through USDA field staff.

Crop Insurance and Emergency Assistance In a Nutshell The Federal Crop Insurance program, with a $4.4 billion budget, protects farmers from losses caused by drought, flooding, pest infestation, and other natural disasters. In addition to crop insurance, Congress periodically makes additional emergency assistance available to farmers and ranchers—most recently $3 billion in the FY 2007 supplemental appropriations bill.18

Background USDA’s Risk Management Agency (RMA) administers the Federal crop insurance program. Under the program, farmers can choose among insurance policies that provide various lev- 03_12part.qxp 11/19/07 7:35 PM Page 307

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els and types of protection—for example, against yield losses only, or against both yield losses and low prices. The insurance policies are sold and serviced by private insurance companies that receive reimbursements for administrative expenses from the Federal government. The insurance companies share the underwriting risk with the Federal government and, in the- ory, can gain or lose depending on the extent of crop losses and claims. The reality, however, is that the crop insurance program has been rife with waste and abuse. In June 2007 testimony to Congress, the GAO testified that “from 2002 through 2006, USDA paid the insurance companies underwriting gains of $2.8 billion, which represents an average annual rate of return of 17.8 percent. In contrast, according to insurance industry sta- tistics, the benchmark rate of return for companies selling property and casualty insurance was 6.4 percent.”The GAO urged Congress to “give RMA authority to periodically renegoti- ate the financial terms of its agreement with companies to provide reasonable cost allowances and underwriting gains.”19

Agricultural Research and Education In a Nutshell USDA’s extensive research and education activities are conducted by four agencies: the Agri- cultural Research Service conducts long-term research; the Cooperative State Research, Educa- tion, and Extension Service provides Federal funds to Colleges of Agriculture to support State-level research and education; the Economic Research Service provides economic analysis of agriculture issues; and the National Agricultural Statistics Service collects data to support ongo- ing research. The combined appropriations for the four agencies amount to $2.5 billion.

Background The $1.1 billion budget of the Agricultural Research Service (ARS) funds USDA’s in-house scientific research aimed at improving the safety of U.S. agricultural products and providing producers with technologies to compete effectively. Specific areas of research include soil and water conservation, genetics and specialty crops, food safety, renewable energy, plant and ani- mal sciences, nutrition and obesity, and information services. More recently, ARS research resources have been focused on homeland security efforts to protect the nation’s food supply. In 2006, ARS submitted 83 new patent applications, licensed 25 new products, and developed 51 new plant varieties.20 The $1.2 billion budget of the Cooperative State Research, Education, and Extension Service (CSREES) provides Federal research funds to land grant colleges of agriculture. (The land grant system began in 1862 with the Morrill Act, which gave States public lands provided the lands be sold or used for profit and the proceeds used to establish at least one college that would teach agriculture and the mechanical arts.) Close to 60% of the CSREES budget supports State-level research and teaching programs, and the remainder provides funds primarily for continuing education and outreach activities of the “Exten- sion System.” The Economic Research Service has a $75 million budget, and the National Agricultural Statistics Service has a budget of about $150 million. 03_12part.qxp 11/19/07 7:35 PM Page 308

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Marketing and Regulatory Programs In a Nutshell USDA’s billion-dollar marketing and regulatory budget includes $851 million for the Animal and Plant Health Inspection Service; $38 million for the Grain Inspection, Packers, and Stock- yards Administration; and $113 million for the Agricultural Marketing Service.21

Background The Animal and Plant Health Inspection Service (APHIS) is tasked with protecting U.S. agri- culture from pests and diseases. In recent years, the APHIS has received considerable funding to lead USDA efforts to monitor and prepare for a possible outbreak of avian influenza. (The other major inspection activity of the USDA is inspecting all meat and poultry sold in the United States. This is conducted by USDA’s Food Safety and Inspection Service, discussed in chapter 3-6.) The Grain Inspection, Packers, and Stockyards Administration sets standards for grain and seeks to ensure competition in livestock and meat markets. The Agricultural Marketing Service provides funds to trade associations, commodity groups, and for-profit firms to assist them in building markets overseas for a wide variety of U.S. agricultural products.

Myth: The United States has a substantial agricultural trade surplus that helps to offset the general trade imbalance. Fact: The United States has an agricultural trade surplus, but less than is commonly assumed. USDA is projecting agricultural exports of $83.5 billion for FY 2008 and agri- cultural imports of $75 billion, with a net trade surplus of less than $9 billion.22 Major export markets are Canada, Mexico, Japan, the European Union, China, South Korea, and Taiwan. The United States’ biggest import suppliers are the European Union, Canada, and Mexico.

Agricultural Trade and Food Aid In a Nutshell USDA operates food aid programs funded through annual discretionary appropriations ($1.3 billion) and export promotion programs funded directly by the Commodity Credit Corpo- ration ($262 million23). Because the export promotion programs are funded through the mul- tiyear Farm Bill, rather than annual appropriations, they are considered to be mandatory (i.e., nondiscretionary) spending.

Background The export promotion programs, operated by USDA’s Foreign Agriculture Service (FAS), include the Market Access Program, Export Enhancement Program, the Foreign Market Development Program, and the Export Credit Guarantee Program. 03_12part.qxp 11/19/07 7:35 PM Page 309

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The Market Access Program (MAP) subsidizes efforts by private and nonprofit firms to develop foreign markets for U.S. agriculture through advertising, consumer promotions, mar- ket research, and technical assistance. The Foreign Market Development Program (FMDP), jointly funded by government and industry groups, is similar to MAP.The principal difference is that unlike MAP,which is ori- ented toward consumer goods and brand-name products, FMDP is oriented toward bulk commodities. The Export Enhancement Program (EEP) provides export subsidies. Each year FAS announces target countries for EEP subsidies that allow U.S. agricultural exporters to nego- tiate the sale of commodities with foreign importers at reduced prices and then receive a sub- sidy payment from the CCC to cover the cost of the price reduction. The program was used in the past most often for wheat exports, although use of the program has declined in recent years (due to ongoing U.S. efforts to end agricultural subsidies in global trade). The Export Credit Guarantee program operates as a government loan guarantee program. Private U.S. banks extend financing to countries desiring to purchase U.S. agricultural exports, and the CCC guarantees the loans (i.e., it will repay the loans in the event of a default by the foreign purchaser). In 2005, the major recipients of export credit guarantees were Turkey, Mexico, South Korea, Russia, and China. USDA estimates that in FY 2006 the amount of credit guaranteed was $3.1 billion, although, as explained in chapter 2-5, the actual cost to the gov- ernment is the anticipated default rate. For example, as of early 2006, Iraq was in default of more than $3 billion of previously extended guarantees.24 The principal food aid program, costing $1.2 billion per year, is known as the P.L. 48025 Food for Peace program. USDA administers Title I of the program, which provides for long- term, low-interest loans to developing countries for their purchase of U.S. agricultural com- modities. Titles II and III of the program, administered by USAID (see chapter 3-13), provides for donation of U.S. agricultural commodities and grants to governments to support long- term growth.26 Another discretionary food aid program operated by USDA is the $100 million McGov- ern-Dole International Food for Education and Child Nutrition Program, which funds school nutrition programs in developing countries.

Farm Credit In a Nutshell The Federal government assists farmers to obtain credit in two ways: (1) credit is available through the Farm Credit System, which is a network of borrower-owned lending institutions operating as a government-sponsored enterprise; and (2) USDA’s Farm Service Agency makes or guarantees loans to farmers who cannot qualify at other lenders. The annual Federal cost for FSA direct loans and loan guarantees is $150 million.27

Background The Farm Credit System (FCS) is a Federally-chartered, cooperatively owned commercial lender organized to serve the needs of creditworthy farmers. 03_12part.qxp 11/19/07 7:35 PM Page 310

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USDA’s Farm Service Agency (FSA) provides direct loans and loan guarantees to farm- ers who do not otherwise qualify for regular commercial credit. FSA is therefore considered to be a lender of last resort. The Congressional Research Service reports that commercial banks are the largest source of farmers’ credit (37%), followed by FCS (30%), individuals and others (21%), and life insur- ance companies (5%). As a lender of last resort, FSA provides a relatively small amount: 3% through direct loans and 4% through loan guarantees.28

Notes

1. Lewis Eigen and Jonathan Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 6. 2. The “other” category includes Farm Service Agency salaries and expenses, the Risk Management Agency salaries and expenses, the Tobacco Trust Fund, and other farm programs. 3. See chapter 2-9 for more background on mandatory versus discretionary spending. 4. Ralph Chite, “Farm Bill Budget and Costs: 2002 vs. 2007,” RS22694 (Washington, D.C.: Con- gressional Research Service, July 17, 2007), 2. 5. Jasper Womach, “Previewing a 2007 Farm Bill,” RL33037 (Washington, D.C.: Congressional Research Service, January 3, 2007), 12. 6. Jim Monke, “Farm Commodity Programs and the 2007 Farm Bill,”RS21999 (Washington, D.C.: Congressional Research Service, August 3, 2007), 1. 7. Womach, “Previewing,”14. 8. CBO¸ Budget Options (Washington, D.C.: Congressional Budget Office, February 2007), 81. 9. Jim Monke, “Farm Commodity Programs: Direct Payments, Counter-Cyclical Payments, and Marketing Loans,”RL33271 (Washington, D.C.: Congressional Research Service, March 1, 2006), sum- mary page. 10. Put another way, 6.2% of the recipient farms received 36% of the payments. Womach, “Pre- viewing,”16. 11. The 2002 Farm Bill authorized a new countercyclical dairy payment program called the Milk Income Loss Contract (MILC) program, under which dairy farmers nationwide are paid whenever the monthly price for milk in a specified market falls below a certain level. In addition, USDA provides dairy export subsidies and USDA purchases of surplus dairy products. Jasper Womach,“The USDA Farm Bill Proposal,”RL33916 (Washington, D.C.: Congressional Research Service, March 12, 2007), 7–8. 12. “Sugar utilizes nonrecourse loans and a system of import tariff rate quotas and domestic mar- keting allotments to limit supplies and support prices.”Womach, “Previewing,”16. 13. Under the auspices of the General Agreement on Tariffs and Trade (GATT), the Uruguay Round of international trade negotiations negotiated an ambitious set of trade liberalization agreements—reducing tariffs on industrial goods by an average of 40%, reducing agricultural subsidies, and creating a new global organization, the World Trade Organization (WTO), to monitor and regulate international trade. For back- ground on the Uruguay Round, see http://www.wto.org/english/thewto_e/whatis_e/tif_e/fact5_e.htm. 14. Womach, “The USDA 2007 Farm Bill,”11. 15. This conclusion was reached by the USDA Economic Research Service, as cited in Jeffrey Zinn, “Conservation and the 2007 Farm Bill,” RL34060 (Washington, D.C.: Congressional Research Service, July 16, 2007). 16. Jeffrey Zinn and Tadlock Cowan, “Agriculture Conservation Programs: A Scorecard,” RL32940 (Washington, D.C., Congressional Research Service, January 3, 2007), 3. 17. Jim Monke, “Agriculture and Related Agencies: FY 2008 Appropriations,” RL34132 (Washing- ton, D.C.: Congressional Research Service, August 27, 2007), 39. 03_12part.qxp 11/19/07 7:35 PM Page 311

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18. P.L.110-28 (H.R. 2206, 110th Congress); Ralph Chite, “Agricultural Disaster Assistance,”RS21212 (Washington, D.C.: Congressional Research Service, June 26, 2007), 1. 19. Robert A. Robinson, Testimony before the House Subcommittee on General Farm Commodi- ties and Risk Management, GAO-07-944T (Washington D.C.: Government Accountability Office, June 7, 2007). 20. OMB, Budget of the United States, Appendix, FY 2008 (Washington, D.C.: Office of Management and Budget, February 2007), 68; and Monke, “Agriculture and Related Agencies,”13. 21. Monke, “Agriculture and Related Agencies,”39. 22. Charles Hanrahan, “U.S. Agricultural Trade: Trends, Composition, Direction, and Policy,” 98- 253 (Washington, D.C.: Congressional Research Service, September 5, 2007). 23. Ralph Chite, “Farm Bill Budget and Costs: 2002 vs. 2007” RS22694 (Washington, D.C.: Con- gressional Research Service, July 17, 2007), 1. 24. Charles Hanrahan, “Agricultural Export and Food Aid Programs,” IB98006 (Washington, D.C.: Congressional Research Service, March 9, 2006), 6. 25. P.L. 480 is the Agricultural Trade Development and Assistance Act of 1954. 26. Hanrahan, “Agricultural Export,”7. 27. Monke, “Agriculture and Related Agencies,”39. 28. Jim Monke, “Agricultural Credit: Farm Bill Issues,” RS21977 (Washington, D.C.: Congressional Research Service, July 25, 2007), 1. 03_12part.qxp 11/19/07 7:35 PM Page 312 03_13part.qxp 11/19/07 7:31 PM Page 313

CHAPTER 3-13

International Affairs

FY 2007 Total Spending for International Affairs: $39 billion

See www.GovBudget.com for updated numbers,

s reflected in figure 3-13.1, the International Affairs budget covers a broad range of pro- A grams: State Department and Foreign Service operations, economic development aid, humanitarian aid, military aid, contributions to the United Nations and other international organizations, and international drug control efforts. Contrary to the widespread misconception that foreign aid is a substantial portion of the Federal Budget (see figure 3-13.2), humanitarian and economic assistance amount to about $20 billion per year, which is less than 1% of the Federal Budget. Moreover, purely humanitar- ian aid is only 0.3% of the Federal Budget.

FIGURE 3-13.1 FY 2007 Spending on International Affairs Programs (billions of dollars)

scitocraN-retnuoC & diA yratiliM diA & 1.5 ytiruceS ecnatsissA 5.8 cimonocE diA tnempoleveD diA 12.0

sgrO .tnI / .N.U / .tnI sgrO 2.9

,.tpeD etatS ,.tpeD & seissabmE & ngieroF fo tcudnoC fo ngieroF sriaffA nairatinamuH diA 8.2 8.5

313 03_13part.qxp 11/19/07 7:31 PM Page 314

314 AMERICA’S PRIORITIES

Economic Development Aid In a Nutshell Economic Development Aid programs, amounting to about $12 billion, include development assistance, the Economic Support Fund, the Millennium Challenge program, assistance to new democracies in Eastern Europe and states of the Former Soviet Union (FSU), multilat- eral development banks, the Peace Corps, and USAID operations (see table 3-13.1).

Background and Issues U.S. Agency for International Development (USAID). United States economic development and humanitarian programs are operated primarily by the U.S. Agency for International Development (USAID), which is an independent Federal agency (but closely linked to the State Department, which provides foreign policy guidance). The close coordination of the State Department and USAID was further reinforced in 2006 by the appointment of a “Director of Foreign Assistance” at the State Department, who also serves concurrently as the USAID Administrator. Critics of the new structure are concerned that it will overly politicize aid pro- grams.5 Supporters of the new structure assert that foreign aid is appropriately viewed as an instrument of foreign policy. Economic Support Fund (ESF). The ESF, the largest single category of foreign aid, is intended to advance U.S. strategic goals through economic assistance to allies and countries in democratic transition. Principal beneficiaries include Afghanistan, Egypt, Pakistan, Jordan, and Colombia, which together account for two-thirds of all ESF aid.6 Millennium Challenge Account. President George W. Bush proposed the creation of the Millennium Challenge Corporation in 2002 to provide assistance, through a competitive selec- tion process, to developing nations pursing political and economic reforms. A key difference from traditional foreign aid is that the grants are intended to be awarded solely based on the performance of the applicant countries and without regard to U.S. foreign policy objectives. The Administration sought about $10 billion for FY 2004–FY 2007; Congress appropriated $6 billion. Recipients have been Madagascar, Honduras, Cape Verde, Nicaragua, Georgia, Benin, Vanuatu, Armenia, Ghana, Mali, El Salvador, Mozambique, Lesotho, Morocco, Mon- golia, and Tanzania.7 World Bank. The World Bank makes loans and grants to low- and middle-income countries to reduce poverty and promote economic development. It consists of two unique development institutions owned by 185 member countries—the International Bank for Reconstruction and Development (IBRD) and the International Development Association (IDA). The IBRD focuses on middle-income and creditworthy poor countries, while IDA focuses on the poorest countries in the world. Together they provide low-interest loans, interest-free credit, and grants to developing countries for education, health, infrastruc- ture, and communications. Since the founding of the World Bank, the United States has contributed the largest amount of resources—about $26 billion as of FY 2007.8 The largest IDA borrowers in 2006 were Pakistan, receiving over a billion dollars in new assistance, fol- lowed by Vietnam, Tanzania, Ethiopia, India, Bangladesh, Nigeria, Congo, Ghana, and Afghanistan.9 03_13part.qxp 11/19/07 7:31 PM Page 315

INTERNATIONAL AFFAIRS 315

TABLE 3-13.1 FY 2007 Funding: Economic Development Aid FY 2007 Foreign Aid Program Program Objectives Funding Economic Support Fund Provides economic development and $5.1 billion* (ESF) stabilization funds to allies, countries (includes making democratic transitions, and $2.6 billion countries important in the “Global supplemental) War on Terror”

Millennium Challenge Authorized in 2004, MCA concentrates $1.8 billion Account (MCA) higher amounts of U.S. aid in a few countries that have demonstrated a strong commitment to political, economic, and social reforms. Aid awarded on a competitive basis.

World Bank U.S. annual contribution to the $1.0 billion World Bank

Other Multilateral Includes Asian Development Bank, $254 million Development Organizations African Development Bank, African Development Fund, and International Fund for Agricultural Development

Development Assistance (DA) Assist developing countries in several $1.5 billion areas: Agriculture, Education, Energy & Technology, Environment, and democratic institutions. Beneficiaries include Afghanistan.

Support for East European Strengthen democratic institutions and $488 million* Democracy (SEED) market economies in Kosovo, Serbia, Bosnia, Macedonia, and Albania

Independent States of the Consolidate the process of political and $452 million former Soviet Union (FSA: economic transition to market democracies, FREEDOM Support Act2) and address regional stability issues. Key 2005 beneficiaries: Georgia, Russia, Ukraine, Armenia, and Azerbaijan.

Peace Corps Nearly 200,000 Peace Corps volunteers $320 million have been invited by 139 developing countries to provide technical knowledge and training and increase cross-cultural communication. (Continued) 03_13part.qxp 11/19/07 7:31 PM Page 316

316 AMERICA’S PRIORITIES

TABLE 3-13.1 FY 2007 Funding: Economic Development Aid (Continued) FY 2007 Foreign Aid Program Program Objectives Funding Transition Initiatives (TI) Support for transition to democracy $40 million and long-term development of countries in crisis. USAID operating expenses Operating expenses to maintain $744 million USAID resident staff in more than 70 foreign countries3 TOTAL: U.S. Humanitarian and Economic Development Aid in FY 2007 $12 billion

*Includes FY 2007 Supplemental Funds. Sources: Office of Management and Budget; Congressional Research Service.4

U.S. Assistance to the Former Soviet Union. Since 1992, the United States has provided more than $28 billion in assistance to the 12 nations of the former Soviet Union, about $11 billion of which came from the FSA program (FREEDOM Support Act).10 FSA funds have been focused on projects to support the transition to democracy and market economies, providing humanitarian relief (at critical points in the 1990s when several countries experienced food shortages); promoting security by controlling the proliferation of nuclear, chemical, and bio- logical weapons; and, more recently, fighting terrorism. Since 2002, FSA funding has been trending downward, but a new source of funding is now available with establishment of the Millennium Challenge Corporation. For example, in 2005 an agreement was signed with Geor- gia providing nearly $300 million over five years to improve infrastructure and stimulate pri- vate enterprise.11 Peace Corps. Established by President John F. Kennedy in 1961, the Peace Corps is one of the most successful government-sponsored development programs. Volunteers spend two years living in developing countries working on projects related to education (35%), health (21%), business development (16%), environment (14%), youth (6%), and agriculture (5%). (Paren- thetical percentages reflect the allocation of Peace Corps resources in FY 2006).12 The Peace Corps mission is to assist less developed countries that need skilled individuals, as well as pro- moting cross-cultural communication between the United States and the world’s developing countries. Since 1961, more than 182,000 American volunteers have been invited to serve in 138 countries. U.S. Ranking behind Others in Providing Aid. We like to think of America as one of the world’s most generous nations. However, as reflected in Figure 3-13.2, an apples-to- apples comparison by the Organisation for Economic Co-operation and Development (OECD)13 shows the United States lagging behind nearly all other developed nations in the percentage of Gross National Income dedicated to development assistance. A long- standing United Nations goal for foreign aid from developed nations is 0.7% of gross national income. The average development assistance is 0.47 %, while U.S. assistance in 2005 was only 0.22%.14 03_13part.qxp 11/19/07 7:31 PM Page 317

INTERNATIONAL AFFAIRS 317

FIGURE 3-13.2 U.S. Lags behind Other Nations in Providing Development Aid ecnatsissA tnempoleveD tnemnrevoG teN tnemnrevoG tnempoleveD ecnatsissA noitan ssorg fo egatnecrep a sa a egatnecrep fo ssorg lanoitan ,emocni 5002 1 9.0 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0

nedewS yawroN sdnalrehteN kramneD airtsuA ecnarF KU dnalreztiwS ynamreG adanaC ylatI napaJ niapS ailartsuA detinU setatS lagutroP eceerG

Source: OECD Factbook 2007.

Humanitarian Aid In a Nutshell Humanitarian Assistance programs, amounting to $8.5 billion, include food aid, child sur- vival and health assistance, family planning, the Global HIV/AIDS Initiative, and migration and refugee assistance (see table 3-13.2).

Background Food Aid. P.L.480, the authorizing law that governs food assistance, has three titles. Title I, Trade and Development Assistance, is administered by the U.S. Department of Agriculture (USDA) and provides for government to government sales of U.S. agricultural commodities. The food commodities may then be sold in the recipient country and the proceeds used to support agri- cultural, economic, or infrastructure development. Title II, administered by USAID, provides for the donation of food to meet emergency and nonemergency needs. Title III, also adminis- tered by USAID, provides for government-to-government grants to support long-term growth in the least developed countries. Other U.S. food aid programs include Food for Progress, which provides for the donation of U.S. commodities to emerging democracies; the section 416(b) program which provides for overseas donations of surplus commodities; and the McGovern- Dole International Food for Education (FFE) program, which provides for donations of agri- cultural products for school feeding and maternal and child nutrition projects. 03_13part.qxp 11/19/07 7:31 PM Page 318

318 AMERICA’S PRIORITIES

TABLE 3-13.2 FY 2007 Funding: Humanitarian Aid FY 2007 Foreign Aid Program Program Objectives Funding Global HIV/AIDS Initiative A multiyear program to combat $3.2 billion (GHAI) HIV/AIDS in the 15 hardest-hit countries; also, U.S. contributions to the Global Fund. Recipient nations: Uganda, Kenya, South Africa, Zambia, and Nigeria.

P.L. 480 and other Includes several food aid and $1.8 billion Food Aid programs development programs administered by USDA and USAID.15

International Disaster & Humanitarian relief to foreign $0.5 billion* Famine Assistance (IDFA) countries struck by natural or man-made disasters; administered by USAID.

Child Survival and Health Major health issues addressed by $1.9 billion* Programs (CSH) CSH include HIV/AIDS, tuberculosis, malaria, infectious diseases, infant mortality, family planning, and reproductive health.

Migration and Refugee Addresses the protection and $1.0 billion* Assistance (MRA) humanitarian needs of refugees, migrants, and conflict victims worldwide, and provides assistance to refugees resettling in the United States. Funds are concentrated in Africa and the Middle East.

Emergency Refugee and Enables the President to provide $110 million* Migration Assistance (ERMA) emergency assistance for unexpected/ urgent refugee and migration needs worldwide TOTAL: U.S. Humanitarian Aid in FY 2007 $8 billion

*Includes FY 2007 Supplemental Funds. Sources: Office of Management and Budget; Congressional Research Service.16 03_13part.qxp 11/19/07 7:31 PM Page 319

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International Disaster and Famine Assistance Program. Administered by USAID, this pro- gram provides temporary shelter, blankets, food, water, medical supplies, and agricultural rehabilitation aid including seeds and hand tools. It is increasingly taking on complex tasks such as Iraq reconstruction and the massive displacement of people from Darfur in the Sudan. Child Survival and Health Programs. Activities include immunization, nutrition, and san- itation programs, as well as training for health workers. Principal beneficiary nations in 2005 were Nigeria, India, Ethiopia, Bangladesh, and Uganda. Restrictions on Family Planning Funding. Since 1965 the United States has provided finan- cial support for international family planning efforts (currently funded at $440 million, pri- marily through the Child Survival and Health Account). In 1984, the Reagan Administration introduced restrictions that denied U.S. funds to any nongovernmental organizations (NGOs) that were involved in voluntary abortion activities, even if such activities were undertaken with non-U.S. funds. President Clinton reversed this policy in 1993, but President George W. Bush resumed the restrictions.17

Military Aid and Security Assistance In a Nutshell Military aid consists of the foreign military financing program and grants for military edu- cation and training. In addition, Congress appropriates funding for “Nonproliferation, Antiterrorism, and Demining,”and for peacekeeping operations (non-UN) (see table 3-13.3).

Background The Foreign Military Financing (FMF) program provides funding to allies for the purchase of American military equipment. A majority of the funds go to Israel and Egypt, with sig- nificant funds going to Pakistan, Jordan, and Colombia.19 The program objective is to enhance U.S. security by assisting well-equipped, well-trained allies to maintain regional and global stability. The State Department handles policy decisions for the FMF program, while the program itself is implemented by the DOD’s Defense Security Cooperation Agency (DSCA). The International Military Education and Training (IMET) program provides grants for military education and training of personnel from foreign countries. In addition to assisting countries in moving toward self-sufficiency in defending themselves, the program also aims to expose foreign students to democratic values and military respect for civilian control. Ben- eficiaries have included Turkey, Jordan, Thailand, Pakistan, and Poland. The Nonproliferation, Anti-Terrorism, Demining and Related Programs (NADR) are designed to assist nations in halting the proliferation of nuclear, chemical, and biological weapons; enhance the ability of law enforcement personnel to interdict and deter terrorists; and advance the humanitarian objectives of the demining program. Since 9/11, this account has grown from $170 million to nearly a half billion dollars per year. Peacekeeping Operations (PKO) support multilateral peacekeeping and regional stability operations that are not funded by the United Nations. PKO funding supports the Multina- tional Force Observers (MFO) in Egypt’s Sinai Peninsula, peacekeeping initiatives in Africa, 03_13part.qxp 11/19/07 7:31 PM Page 320

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TABLE 3-13.3 FY 2007 Funding: Military Aid and Security Assistance FY 2007 Foreign Aid Program Program Objectives Funding Foreign Military Financing Funding to allies for purchase of U.S. $4.8 billion* military equipment

Nonproliferation, Assist nations in halting the $464 million* Anti-Terrorism, Demining proliferation of nuclear, chemical, and biological weapons

Peacekeeping Operations Peacekeeping activities not funded $453 million* (non-UN) through the UN

International Military Grants for military education and $86 million Education & Training training of personnel from foreign countries

TOTAL: U.S. Military Aid and Security Assistance in FY 2007 $5.8 billion *Includes FY 2007 Supplemental Funds. Sources: Office of Management and Budget; Congressional Research Service.18

as well as the Global Peace Operations Initiative, which works to increase the peacekeeping abilities of other nations.20

Counter-Narcotics and Law Enforcement In a Nutshell In FY 2007, Congress appropriated $725 million for international narcotics control (includ- ing supplemental funds) and $722 million for the Andean counterdrug initiative.

Background and Issues The International Narcotics Control and Law Enforcement program (INCLE) supports coun- try-specific as well as global efforts to combat the illegal drug trade. The two largest recipient countries in FY 2007 were Afghanistan and Iraq, with $297 million and $255 million, respec- tively. Afghanistan’s opium poppy-based economy, in addition to being the world’s largest source of heroin, presents a major security risk to the region because it continues to fund Afghan warlords, the resurgent Taliban, and some Al Qaeda operatives. In 2007, CRS reported a general lack of progress in fighting opium poppy production, finding that “in spite of ongoing efforts by the Afghan government, the United States and their partners, Afghanistan is now the source of 93% of the world’s illicit opium.”Afghan President 03_13part.qxp 11/19/07 7:31 PM Page 321

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Hamid Karzai called the opium economy “the single greatest challenge to the long-term secu- rity, development, and effective governance of Afghanistan.”21 The Andean Counter-drug Initiative (ACI) is a multiyear counter narcotics initiative aimed at combating the drug trade in Colombia and six neighboring countries (Bolivia, Brazil, Ecuador, Panama, Peru, and Venezuela). Ninety percent of the cocaine in the United States originates in or passes through Colombia. The ACI was developed as part of “Plan Colombia,” a six-year plan developed by former Colombian President Pastrana to end Colombia’s armed conflict, eliminate drug trafficking, and promote develop- ment.22 From FY 2000 through FY 2007, the United States provided nearly $6 billion in ACI funds. Despite the enormous commitment of resources, critics have warned that ACI would be of limited value given the continuing intractable U.S. demand for illicit drugs.23 Despite some measurable progress in Colombia’s internal security,24 CRS reported to Congress in late 2006 that “efforts to significantly reduce the flow of illicit drugs from abroad into the United States have so far not succeeded....Over the past decade, worldwide production of illicit drugs has risen dramatically: opium and marijuana production has roughly doubled and coca produc- tion tripled.”25 Moreover, “street prices of cocaine and heroin have fallen significantly in the past 20 years, reflecting increased availability.”26

State Department and Conduct of Foreign Affairs In a Nutshell For FY 2007, Congress appropriated $8.3 billion to fund State Department operations, U.S. embassies in 180 countries, educational and cultural exchange programs, international broad- casting, and other foreign affairs activities.

Background State Department Operations. The State Department spends over $5 billion per year on oper- ations in Washington, D.C., operating embassies and diplomatic posts in 180 countries; pro- cessing over 9 million visa applications to travel, study, and live in the United States; issuing passports to U.S. citizens; and performing all other activities associated with the conduct of foreign policy. In order to carry out these functions, the State Department employs 9,000 For- eign Service Officers, 6,500 civil service employees, and over 30,000 Foreign Service Nation- als (foreigners working at U.S. embassies in their home countries). In budget-speak, this is often called the “diplomatic and consular budget.” Embassy Security, Construction, and Maintenance. Following the two embassy bombings in East Africa in August 1998,28 Congress substantially increased funding to enhance U.S. embassy security around the world, with the FY 2007 appropriations reaching $1.5 billion. International Broadcasting. Congress invests over $600 million per year in international broadcasting operations, including Voice of America, Radio Free Europe, Radio Free Asia, broadcasting to Cuba (known as Radio and TV Martí), and the Middle East Broadcasting Net- work (see table 3-13.4). In order to maintain the independence and credibility of U.S. broad- casting operations, Congress established the Broadcasting Board of Governors as a separate entity from the State Department. 03_13part.qxp 11/19/07 7:31 PM Page 322

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TABLE 3-13.4 U.S. Government-Sponsored International Broadcasts U.S. Government-Sponsored International Broadcasts Station Languages Content Voice of America 44 Radio, TV, and Internet broadcasts of U.S. and world news Al-Hurra Arabic Satellite TV: news and special reports to the Middle East Radio Sawa Arabic U.S. and world news and local music for the Middle East Radio Farda Persian U.S. and world news and local music geared toward Iran Radio Free Europe/ 29 U.S. and world news for Central, Southeastern, Radio Liberty and Eastern Europe, the Caucasus, and Central and Southwestern Asia Radio Free Asia 9 U.S. and world news for Asian countries Radio and TV Martí Spanish News and entertainment aimed at Cuba

U.S. International Broadcasting received strong support in its early years when the Voice of America provided information to those living under Nazi occupation during World War II and, later on, to countries under Soviet occupation during the Cold War. However, the most recent ventures—broadcasting to Cuba and now to the Middle East—have been met with skep- ticism. A 2005 CRS report to Congress noted that “Arabs don’t consider Al-Hurra a first choice for news and ...only 3.8% picked it as a second choice.”29 A 2003 State Department Inspec- tor General’s report found that in 2001, only 5% of Cubans regularly listened to Radio Martí.30

Contributions to the United Nations (UN) and other international organizations In a Nutshell In FY 2007 Congress appropriated $1.2 billion for United States assessed contributions to international organizations, including the United Nations; $1.4 billion for UN peacekeeping operations; and $326 million for U.S. voluntary contributions to UN System Programs.

Background Assessed Contributions to International Organizations (CIO) includes the U.S. assessment for the regular UN budget, which in 2007 amounted to $423 million. The UN assessment scale, which is generally based on a country’s capacity to pay, requires the United States to pay 22% of the UN regular budget, with the next highest assessments being Japan at 16.6 % and Ger- many at 8.6 %.31 03_13part.qxp 11/19/07 7:31 PM Page 323

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The remainder of the $1.2 billion in assessed contributions is allocated to Specialized Agen- cies affiliated with the United Nations32 and to the International Atomic Energy Agency (IAEA).33 Major budget items in this area include a $101 million assessment for the World Health Organi- zation; $92 million for the Food and Agriculture Organization; $87 million for the IAEA; $72 mil- lion for the United Nations Educational, Scientific, and Cultural Organization (UNESCO); $67 million for the International Labor Organization; and $33 million for War Crimes Tribunals.34 Contributions to International Peacekeeping Activities (CIPA), like the UN itself, are typi- cally funded through assessments—although the amount of U.S. peacekeeping assessments has been an issue of some controversy, as discussed later. Voluntary contributions35 finance special programs created by the UN system, as well as providing additional funding to UN Specialized Agencies.36 FY 2007 voluntary contributions included among other budget items, $123 million for the UN Children’s Fund (UNICEF), $95 million for the UN Development Program (UNDP), $10 million for the UN Democracy Fund (UNDEF), and $5 million for the Intergovernmental Panel on Climate Change and the Frame- work Convention on Climate Change (IPCC and UNFCC).37

Issues Is the U.S. Assessment Excessive? The United States has been, and continues to be, the single largest contributor to the United Nations due to the size of the U.S. economy. However, the question of which economic factors are most relevant in establishing UN assessments is a source of continuing controversy. For example, the United States has suggested at various times that the formula currently used by the UN results in an excessive U.S. assessment. Mem- bers of the Administration and Congress have argued that the formula should take into account a Member Nation’s purchasing power and foreign currency rates (in addition to Gross National Income). However, despite a recent UN review of the assessment schedule, the 2007 U.S. assessment for the UN regular budget remained at 22%.38 U.S. Arrearages. Another ongoing issue has been U.S. arrearages (dues outstanding). Since 1980, Congress has, at various times, used U.S. payment of assessments as leverage on policy issues and proposed reforms of UN operations. For example, in 1980 Congress began pro- hibiting dues payments for a number of UN programs and activities such as projects bene- fiting the Palestine Liberation Organization (PLO) and the South West Africa People’s Organization, construction of a conference center in Addis Ababa, and implementation of the “Zionism equals racism” resolution. In 1987, Congress tied payment of dues to reforms by the UN of its budget process and reductions in its staff, and in 1993 payment of dues was linked to establishment of an independent auditing office inside the United Nations. In 1999, negotiations between the Clinton Administration and congressional leaders led to the Helms- Biden plan linking payment of arrearages to various reform benchmarks. According to the UN, despite recent arrears payments, as of December 31, 2006, the United States still owed assessments of more than $1 billion.39 Notes

1. “Americans on Foreign Aid and World Hunger—A Study of U.S. Public Attitudes” University of Maryland Program on International Policy Attitudes (PIPA), WorldPublicOpinion.org, February 2, 2001, 6–7. 03_13part.qxp 11/19/07 7:31 PM Page 324

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2. The acronym FSA stems from the FREEDOM Support Act of 1992. 3. Operations spending also includes capital investments for security and information technology, and the Office of the Inspector General. 4. Connie Veillette, “State, Foreign Operations, and Related Programs: FY 2008 Appropriations,” RL34023 (Washington, D.C.: Congressional Research Service, September 10, 2007), appendix C. 5. See Connie Veillette, “Restructuring U.S. Foreign Aid: The Role of the Director of Foreign Assis- tance in Transformational Development,” RL33491 (Washington, D.C.: Congressional Research Ser- vice, January 23, 2007). 6. House Report 110-197, accompanying H.R. 2764 (110th Congress), State Foreign Operations, and Related Programs Appropriations Bill, 2008, 69–70. 7. Curt Tarnoff, “Millennium Challenge Account,” RL32427 (Washington DC: Congressional Research Service, September 24, 2007). 8. Martin Weiss, “The World Bank’s International Development Association,”RL33969 (Washing- ton D.C.: Congressional Research Service, July 18, 2007), 18. 9. Weiss, “The World Bank’s International Development Association,”7. 10. Curt Tarnoff, “U.S. Assistance to the Former Soviet Union,” RL32866 (Washington, D.C.: Con- gressional Research Service, March 1, 2007). 11. Tarnoff, “U.S. Assistance,”4–5. 12. Peace Corps Fact Sheet 2007, http://peacecorps.gov/multimedia/pdf/about/pc_facts.pdf. 13. The OECD, an organization of 30 developed democracies, “brings together the governments of countries committed to democracy and the market economy from around the world to: support sus- tainable economic growth; boost employment; raise living standards; maintain financial stability; assist other countries’ economic development; and contribute to growth in world trade.” Source: “About OECD,”www.oecd.org. 14. OECD Factbook 2007: Economic, Environmental and Social Statistics (Paris: Organisation for Eco- nomic Co-operation and Development, 2007), 200–1. 15. See “Fact Sheet: Food Aid,” U.S. Department of Agriculture, www.fas.usda.gov/info/fact- sheets/Food%20Aid.pdf. 16. Veillette, “State, Foreign Operations, and Related Programs,”appendix C. 17. See Luisa Blanchfield, “International Population Assistance and Family Planning Programs: Issues for Congress,”RL33250 (Washington, D.C.: Congressional Research Service, September 21, 2007). 18. Veillette, “State, Foreign Operations, and Related Programs,”appendix C. 19. House Report 110-197, 1119–27. 20. House Report 110-197, 127–30. 21. Christopher Blanchard, “Afghanistan: Narcotics and U.S. Policy,” RL32686 (Washington D.C.: Congressional Research Service, September 14, 2007), summary. 22. Connie Veillette, “Plan Colombia: A Progress Report,”RL32774 (Washington D.C: Congressional Research Service, January 11, 2006), summary. 23. Raphael Perl, “International Drug Trade and U.S. Foreign Policy,” RL33582 (Washington D.C.: Congressional Research Service, November 6, 2006), 13. 24. Veillette, “Plan Colombia,”summary. 25. Perl, “International Drug Trade,”summary. 26. Raphael Perl, “Drug Control: International Policy and Approaches,”IB88093 (Washington D.C.: Congressional Research Service, February 2, 2006), summary. 27. Includes State Department funding for capital investment, Inspector General, protection of for- eign missions, emergency services, International Center for Middle East-West Dialogue, Asia Founda- tion, National Endowment for Democracy, East-West Center, Eisenhower Exchange, Israeli-Arab Scholarship, and international commissions on boundary, water, and environmental issues. 03_13part.qxp 11/19/07 7:31 PM Page 325

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28. In the 1998 U.S. Embassy bombings (August 7, 1998), over 200 people were killed and over 4,000 injured in simultaneous car bomb explosions at the U.S. embassies in the East African capital cities of Dar es Salaam, Tanzania, and Nairobi, Kenya. The attacks were linked to local members of Al Qaeda. Source: http://www.pbs.org/newshour/bb/africa/embassy_bombing/map.html. 29. Jeremy Sharp, “The Middle East Television Network: An Overview” (Washington, D.C.: Con- gressional Research Service, August 17, 2005), 4. 30. Office of the Inspector General, “Review of the Effectiveness and Implementation of Office of Cuba Broadcasting’s New Program Initiatives” (Washington DC, U.S. Department of State, January 2003), 14. 31. Marjorie Ann Browne and Kennon Nakamura, “United Nations System Funding: Congressional Issues,”RL33611 (Washington D.C.: Congressional Budget Office, September 17, 2007), 13. 32. The Specialized Agencies include FAO (Food and Agriculture Organisation), ILO (International Labor Organisation), UNESCO (United Nations Educational, Scientific, and Cultural Organisation), UNIDO (United Nations Industrial Development Organisation) since 1986, WHO (World Health Organisation), ICAO (International Civil Aviation Organization), IMO (International Maritime Organ- isation), ITU (International Telecommunication Union), UPU (Universal Postal Union), WIPO (World Intellectual Property Organization), WMO (World Meteorologial Organization) and IAEA (Interna- tional Atomic Energy Agency). The IAEA although not formally a Specialized Agency, is also financed by assessed contributions. Source: www.globalpolicy.org. 33. The IAEA is an autonomous international organization established by representatives of more than 80 countries in 1956. 34. UN Specialized Agencies and the IAEA are autonomous organizations; some use the same assess- ment scale as the UN, while others adopt their own assessment scale. For example, U.S. assessments for ILO, FAO, and UNESCO are 22%, while the IAEA assessment is 26%. Browne and Nakamura, “United Nations System Funding,”10, 15. 35. From the International Organizations and Programs or “IOP” Account. 36. The Programs and Funds include UNCDF (United Nations Capital Development Fund) since 1973, UNDP (United Nations Development Programme), UNEP (United Nations Environment Pro- gram) since 1973, UNFPA (United Nations Population Fund), UNHCR (Office of the United Nations High Commissioner for Refugees), UNICEF (United Nations Children’s Fund), UNIDO (United Nations Industrial Development Organization) until 1986, UNITAR (United Nations Institute for Train- ing and Research), UNRWA (UN Relief & Works Agency for Palestinian Refugees in the Near East), UNU (United Nations University) since 1975, and WFP (World Food Programme). Source: www.glob- alpolicy.org. 37. Browne and Nakamura, “United Nations System Funding,”11. 38. Browne and Nakamura, “United Nations System Funding,”12–15. 39. Browne and Nakamura, “United Nations System Funding,”15–30. 03_13part.qxp 11/19/07 7:31 PM Page 326 04_0part.qxp 11/20/07 10:25 AM Page 327

PART IV

REVENUES: HOW AMERICA RAISES $3 TRILLION PER YEAR

Taxes are what we pay for civilized society. —Justice Oliver Wendell Holmes Jr., 1904 1

Overview of U.S. Taxes n FY 2007, revenues flowing into the Treasury amounted to $2.568 trillion. The individual Iincome tax is the largest source of Federal revenue, bringing in about $1.2 trillion—45% of Federal revenues. The next largest source of Federal revenues are payroll taxes (including Social Security, Medicare Hospital Insurance, and Unemployment Insurance), amounting to $870 billion in FY 2007, or 34% of Federal revenues. Corporate income taxes are a distant third as a Federal revenue source, bringing in $370 billion, or 14% of Federal revenues. The remaining items that complete the revenue pie (see figure 4.1) are excise taxes account- ing for 3% of revenues; estate and gift taxes and customs duties, each accounting for 1% of rev- enues; and miscellaneous receipts accounting for the remaining 2% of total revenue.

Individual Income Taxes

The art of taxation consists in so plucking the goose as to obtain the largest possible amount of feathers with the smallest possible amount of hissing.—Jean Baptiste Colbert, 16653

As displayed in figure 4.2 the Federal individual income tax applies increasing levels of taxation—based on income bracket—to various types of income including wages, salaries, tips, interest, investments, and noncorporate business income. After all types of income are totaled up, certain adjustments are applied that reduce total income for tax purposes, such as contribu-

327 04_0part.qxp 11/20/07 10:25 AM Page 328

328 AMERICA’S PRIORITIES

FIGURE 4.1 Overview of FY 2007 Revenues

fo noillirT 6.2$ fo weivrevO fo 6.2$ noillirT fo seuneveR 7002 YF 7002 seuneveR

etaroproC smotsuC .csiM stpieceR sexaT emocnI sexaT seituD %2 %41 %1 sexaT esicxE sexaT nI laudivid %3 emocnI sexaT %54

sexaT lloryaP sexaT ,ytiruceS .coS( ,ytiruceS etatsE dna tfiG ,eracideM sexaT tnemyolpmenU %1 %43 )

Source: U.S. Treasury Department.2

tions to certain IRAs, alimony paid, self-employed health insurance premiums, and some inter- est on student loans; these adjustments generate a number called adjusted gross income (AGI). AGI is then reduced by a “standard deduction”4 or “itemized deductions” and is further reduced by the number of personal or dependent exemptions. This generates a number called taxable income. Taxable income is then taxed according to rates set by law (see figure 4.2). The resulting tax can then either be increased by the Alternative Minimum Tax (explained later) or decreased by certain tax credits such as the child tax credit. Unlike “deductions,”which reduce the amount of income that is taxed, tax “credits” reduce the amount of taxes owed. Certain tax credits are referred to as “refundable,”which means that if the amount of the credit exceeds the tax bill, the Treasury will make a direct payment of the balance to the taxpayer. In other words, a refundable tax credit can, in addition to erasing one’s tax liability, result in a check from the Federal government. Examples of refundable credits include the Earned Income Tax Credit5 and the Child Tax Credit. From a budgetary perspec- tive, the amount of the credits that offset tax liability is scored as a revenue reduction, while the amounts that exceed tax liability and are paid directly to taxpayers are scored as budgetary outlays. Nonrefundable credits include the Child and Dependent Care Credit (for the costs of care for children and dependents)6 and the Hope and Lifetime Learning Credits for expenses of postsecondary education.7 04_0part.qxp 11/20/07 10:25 AM Page 329

REVENUES: HOW AMERICA RAISES $3 TRILLION PER YEAR 329

FIGURE 4.2 The Federal Income Tax in a Nutshell

Individual Income Tax Is Assessed on: wages, salaries, tips, interest, dividends, capital gains, business income, rent, royalties, unemployment compensation, pension and annuity income, alimony received, and Social Security benefits (for higher-income taxpayers)

Reduced by: IRA and other retirement contributions SEP, SIMPLE, and other self-employed retirement plans Alimony paid; Health Savings Accounts Self-employed health insurance premiums Certain student loan interest Moving expenses One-half of self-employment tax

Adjusted Gross Income

Reduced by: Standard Deduction8 or Itemized Deductions including: Home mortgage interest State/local income taxes State/local property taxes Charitable contributions Medical expenses (over 7.5% AGI) and Personal and dependent exemptions

Taxable Income

Taxable Income was taxed at the following incremental rates in 2007 (except for capital gains and dividend income, which are generally taxed at 15%):9

Tax Rate Single Return Joint Return 10% Up to $7,825 Up to $15,650 15% Up to $31,850 Up to $63,700 25% Up to $77,100 Up to $125,500 28% Up to $160,850 Up to $195,850 33% Up to $349,700 Up to $349,700 35% Over $349,700 Over $349,700

For example, an individual with taxable income of $30,000, pays 10% on the amount up to $7,825, and 15% on $22,175 (the amount over $7,825). In this way, the tax rates apply to increments of income. Resulting taxes owed can be increased by the Alternative Minimum Tax (AMT) or reduced by tax credits such as the earned income tax credit (EITC), child tax credit, education tax credit, credit for elderly or disabled, and credit for child and dependent care expenses. 04_0part.qxp 11/20/07 10:25 AM Page 330

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Alternative Minimum Tax (Amt): Created to Prevent Tax Avoidance by the Few, but Now Poised to Impact Millions

The growing reach of the AMT is “the most serious problem” facing individual taxpayers. —Office of the National Taxpayer Advocate, 2003 Annual Report to Congress13

Congress has often used the Tax Code as a means of promoting various economic and social policies through tax incentives, deductions, and exemptions. While many of these goals are laudable, at the same time it is not surprising that some individuals, particularly in upper income brackets, have been able to structure their activities in ways that take excessive advan- tage of various tax incentives and preferences. In 1969, after Congress learned that 155 tax- payers with incomes above $200,000 had paid no 1966 Federal tax,10 lawmakers enacted what later became known as the “Alternative Minimum Tax”(AMT) in order to ensure that every- one pays a minimum amount of tax, regardless of how many tax preferences or deductions they may technically be entitled to. In general, the AMT operates by requiring people to recalculate their taxes under alter- native rules that (1) include certain forms of income exempt from regular tax and (2) disal- low certain exemptions, deductions, and preferences. More specifically:

• First a taxpayer adds back to his or her taxable income certain tax preferences, generat- ing an amount known as the AMT tax base. (Personal exemptions, itemized deductions for state and local taxes, and miscellaneous itemized deductions account for 90% of the preference items added back.11) • Next, a standard exemption amount12 is calculated and subtracted from the AMT tax base. • The resulting amount is then subject to the AMT’s two-tiered tax rate of 26% on income up to $175,000 and 28% over that amount. • Finally, and most importantly, the taxpayer then pays whichever amount is greater—their AMT tax liability or their regular income tax liability (calculated as described at the begin- ning of this chapter).

Myth: The AMT impacts only high-income taxpayers.

Fact: While the AMT was first enacted to ensure that upper-income individuals pay a “fair share” of the tax burden, in recent years upper-middle and middle-income tax- payers are increasingly finding themselves subject to the AMT, as shown in table 4.1. This has occurred for two reasons. First, while the regular income tax is indexed for inflation, the AMT is not.14 Second, recent income tax rate reductions have narrowed the differences between regular and AMT tax liabilities. In the table, note the impact on taxpayers at the $50,000–$100,000 and $100,000–$200,000 levels beginning in 2007. 04_0part.qxp 11/20/07 10:25 AM Page 331

REVENUES: HOW AMERICA RAISES $3 TRILLION PER YEAR 331

TABLE 4.1 Taxpayers with AMT Liability by Adjusted Gross Income Adjusted Gross Income (in 2005 dollars) 2005 2007 2008 2009 2010 Less than $50,000 0.0% 0.8% 1.4% 2.2% 3.3% $50,000 –$100,000 1.3% 42.8% 50.5% 59.0% 65.9% $100,000–$200,000 16.7% 86.2% 90.7% 93.0% 95.3% $200,000–$500,000 66.6% 85.2% 86.5% 83.5% 85.7% $500,000–$1,000,000 27.5% 28.4% 30.7% 28.4% 30.3% Over $1,000,000 21.2% 23.1% 24.9% 23.8% 25.5% All taxpayers 2.1% 13.2% 14.7% 16.3% 17.9%

Source: Congressional Budget Office.15

According to CBO, until 2000, less than 1% of taxpayers paid AMT in any year.16 In 2001, 2003, and 2006, Congress enacted temporary increases in the AMT exemption amounts in order to mitigate the AMT’s increasing impact on middle-income taxpayers. However, if AMT relief is not extended beyond 2006, the Congressional Research Service estimates that in 2007, 24 million taxpayers would be subject to the AMT.17 Moreover, if the 2001 and 2003 tax rate cuts are made permanent (as the Administration and many Members of Congress have been call- ing for), the reach of AMT would extend to 50 million taxpayers by 2016.18 Options to address the growth of the AMT include (1) extending the increased exemp- tion level, (2) indexing the AMT for inflation, or (3) repealing the AMT. However, all of these potential “fixes” for the AMT face the major hurdle of identifying offsetting revenue raisers. As explained in chapter 2-4, Congress is once again operating under PAYGO rules that require revenue raisers to offset the costs of any tax changes that would lose revenue (as all of the AMT “fixes” would). For example, it is estimated that if the 2001 and 2003 tax cuts are extended, repealing the AMT would cost nearly $1 trillion in lost revenues over 10 years.19 Similarly, even a one-year AMT fix—usually referred to as a “patch” due to its short-term effect—would cost $55–$60 billion.20 Because of the enormous costs of a per- manent AMT fix, Congress appears to be settling into the routine of annually enacting a short-term patch to prevent the AMT from ensnaring upper-middle- and middle-income taxpayers.

Payroll Taxes: Social Security and Medicare Hospital Insurance As reflected in figure 4.1, payroll taxes will bring in 34% of Federal revenues for FY 2007. Pay- roll taxes are comprised almost entirely of Social Security taxes and Medicare Hospital Insur- ance taxes.21 Social Security and Medicare payroll tax rates are, respectively, 12.4% and 2.9%, half paid by the employer and half by the employee (i.e., 7.65% each). (Self-employed individuals pay self-employment tax, which is roughly equivalent to both halves of the tax.22) Revenues from Social Security payroll taxes pay for retirement and disability benefits, while the Medicare pay- roll tax pays for Medicare Part A, which is the portion of Medicare that provides elderly and 04_0part.qxp 11/20/07 10:25 AM Page 332

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disabled Americans with hospital insurance (HI). (See chapter 3-4 on Social Security and chapter 3-6 on Medicare.) Social Security payroll taxes are levied on the first $102,000 of wages (as of tax year 2008), with this cap on taxable wages adjusted annually for increases in average wages in the econ- omy.23 The amount of income subject to Medicare payroll taxes used to be similarly capped; however, that cap was lifted as part of the deficit reduction legislation of 1993, and all wage income is now subject to the Medicare (HI) tax. (For a description of the 0.8% net Federal payroll tax paid by employers to support the unemployment insurance program, see chapter 3-8.)

Myth: The largest tax bill for most American workers is the income tax.

Fact: As of 2005, nearly 80% of American households paid more in payroll taxes than in income taxes. Many argue that this casts a shadow of unfairness on the U.S. tax sys- tem because the payroll tax is a highly regressive tax. For example, a middle-class fam- ily with four children, earning $97,500 per year, pays the same amount in Social Security payroll taxes as a corporate CEO earning millions, due to the cap on taxable wages.

Myth: A worker’s payroll taxes are deposited into a personal account at the Social Secu- rity Administration (SSA) from which their benefits will be drawn when they retire.

Fact: This is a common misconception. As displayed in figure 4.3, Social Security is actu- ally a pay-as-you-go system in which the payroll taxes paid by current workers are used to pay the benefits of current retirees and people on disability. (Any excess payroll taxes—referred to as the “Social Security surplus”—are invested in nonmarketable U.S. Treasury securities. The SSA will begin redeeming those securities when Social Security expenditures exceed incoming payroll taxes—projected to begin around 2017–2019.)

Corporate Income Taxes Corporate taxable income is subject to a set of graduated tax rates—15%, 25%, 34%, and 35%—with smaller firms often taxed at the lower rates and the bulk of corporate income, earned by larger firms, taxed at the higher rates. The income base subject to corporate taxes is roughly equal to gross revenue minus expenses. Deductible expenses include wages, materials, and interest paid on debt instruments (sometimes called debt capital). In addition, firms can deduct tangible assets—such as machines, equipment, and structures—over time according to a depreciation schedule. 04_0part.qxp 11/20/07 10:25 AM Page 333

REVENUES: HOW AMERICA RAISES $3 TRILLION PER YEAR 333

FIGURE 4.3 Current Workers’ Payroll Taxes Pay for Current Retirees’ Benefits (with Surplus Rev- enues Invested in Treasury Securities)

U.S. TREASURY SECURITIES

EXCESS PAYROLL TAXES (Social Security Surplus)

CURRENT SOCIAL SECURITY CURRENT PAYROLL SOCIAL SECURITY TAXES BENEFITS

Economists and policymakers have long debated whether it is reasonable to tax corpo- rate profits. Opponents of the corporate tax point out that corporate equity profits are, in reality, taxed twice—once at the corporate level and again when they are received by individ- ual stockholders as dividends or capital gains. Supporters of the corporate tax point out that it discourages the use of corporations as shelters from individual income tax and that it may add to the overall progressivity of the tax system. In 2003, the Jobs and Growth Tax Relief Reconciliation Act (JGTRRA) reduced the tax rate individuals pay on corporate-source dividends and capital gains to 15%, which some may view as moving in the direction of relieving the “double taxation” of corporate income. On the other hand, this provision has also led some to argue that benefits from recent tax cuts are skewed in the direction of wealthier taxpayers.

Estate and Gift Taxes: Myths and Facts

Of all forms of taxation this seems the wisest. Men who continue hoarding great sums all their lives, the proper use of which for public ends would work good to the community from which it chiefly came, should be made to feel that the community . . . cannot thus be deprived of its proper share. By taxing estates…at death the State marks its condemnation of the self- ish millionaire. —Andrew Carnegie, from The Gospel of Wealth (1901)

The Federal estate and gift tax is a high-profile public policy issue that, unfortunately, is widely misunderstood due to a lot of ideology muddying the waters. Here are the facts. As reflected in figure 4.1, the estate and gift tax is a minor slice of the revenue pie, accounting for only 1% of Federal revenues. Furthermore, because of the estate and gift tax 04_0part.qxp 11/20/07 10:25 AM Page 334

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“exemption,” as well as various deductions, the estate and gift tax impacts only a tiny per- centage of Americans. For example, only 2% of all deaths in the United States. in tax year 2001 resulted in estate tax liability; in 2008, an estimated 0.5% of estates are taxed, due to the increasing exemption.24 The Federal estate tax is applied when property is transferred at death. After deductions and exemptions, the remaining amount is subject to graduated rates of taxation up to 45% as estate size increases. An unlimited marital deduction is allowed for property transferred to a surviving spouse. Other allowable deductions include charitable contributions and estate administration expenses. In addition, the so-called unified credit exempts the first $2 mil- lion of an estate from tax. This is the primary reason why the estate tax impacts only a very small percentage of the estates in the nation. Under current law, the $2 million exemption will increase to $3.5 million in 2009, and the estate tax will be fully repealed in 2010, before it bounces back in 2011.25 As reflected in table 4.2, the major tax cut legislation enacted in 2001 phases out the estate tax over 2002 to 2010. However, due to the Senate’s Byrd Rule (explained in chapter 2-2), which was designed to prevent the use of expedited budget procedures for passage of legisla- tion that would increase deficits over the long term, the estate tax reverts to pre-2001 law in 2011. This means that—absent a change in tax law—as of January 1, 2011, the estate tax will be reinstated with a pre-2001 exemption level of $1 million. The Federal gift tax operates in conjunction with the estate tax to prevent people from shielding their property from estate taxes by making gifts to heirs prior to death. Each year individuals can make gifts of $12,00026 to as many individual recipients as they wish, with- out being subject to the gift tax. However, any amount in excess of this per-person gift limit is applied to a lifetime gift exclusion amount of $1 million. At time of death, the cumulative amount of gift tax exclusion used by the decedent reduces the estate tax exemption (currently set at $2 million). In this way, the gift tax operates in a unified manner with the estate tax.

Myth: The estate tax broadly impacts America’s families.

Fact: Actually, 99.5% of Americans pay no estate tax due to the large exemption amount—currently $2 million. Only the wealthiest 0.5% of Americans pay estate tax. By 2009, when the exemption amount increases to $3.5 million, the coverage of the estate tax will shrink to 0.2%.27

TABLE 4.2 Estate Tax Filing Requirement Year of Death Threshold for Filing Requirement 2004 and 2005 $1,500,000 2006 through 2008 $2,000,000 2009 $3,500,000 2010 Estate tax repealed 2011 $1,000,000 04_0part.qxp 11/20/07 10:25 AM Page 335

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Myth: The estate tax poses a serious threat to the survival of small farms and other types of small businesses that lack the liquidity to pay the estate tax.

Fact: According to CRS, “recent estimates suggest that only a tiny fraction of family- owned businesses (less than one-half of 1%) are subject to the estate tax but do not have readily available resources to pay the tax.”28 With regard to farmers, a CBO study in 2005 estimated that when the estate tax exemption level increases to $3.5 million in 2009, only 65 farm estates nationwide would owe any tax, and only 13 might lack sufficient liquidity to pay the estate tax.29 In 2005, the New York Times reported that neither the American Farm Bureau Federation nor the National Cattleman’s Beef Association could cite a single case of a farm lost to estate taxes.30

Myth: Repeal of the estate tax will not increase the Federal Debt.

Fact: Enacting legislation to permanently repeal the estate tax would cost the Treasury $281 billion over FY 2011 to FY 2015—at a time when the U.S. Treasury will already be burdened with rapidly escalating Medicare, Medicaid, Social Security, defense, and homeland security expenditures.31

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Opponents of repealing the estate tax also point out that (1) it provides a strong incen- tive for charitable giving (which is deductible from estates), (2) it taxes capital gains that would otherwise be shielded from tax since heirs receive a “stepped-up” basis,32 and (3) the estate tax furthers the stability of our democracy by mitigating the increasing concentration of wealth in the United States.33

Recommended Sources for More Information on the Estate and Gift Tax

• Michael J. Graetz and Ian Shapiro, Death by a Thousand Cuts: The Fight over Taxing Inherited Wealth (Princeton, NJ: Princeton University Press, 2005). • CBO: “Effects of the Federal Estate Tax on Farms and Small Businesses,”July 2005. • CRS: “Estate and Gift Taxes: Economic Issues,” RL30600, January 26, 2007, www.opencrs.com/doc- ument/RL30600/; “Economic Issues Surrounding the Estate and Gift Tax: A Brief Summary” RS20609, April 24, 2007, www.opencrs.com/document/RS20609/; “Asset Distribution of Taxable Estates: An Analysis,”RS20593, February 07, 2007, www.opencrs.com/document/RS20593/. • American Institute of Certified Public Accountants, “Study on Reform of the Estate and Gift Tax System,”February 2001.

Excise Taxes, Duties, and Miscellaneous Receipts

A tax paid on the day you buy is not as tough as asking you for it the next year when you are broke.—Will Rogers, 1931 34

Excise Taxes. In FY 2007, excise taxes raised $65 billion in revenues, less than 3% of total Fed- eral revenues.35 Excise taxes are a form of “consumption tax”; that is, they are imposed on the consumption of specific goods and services, rather than on income. Unlike sales taxes, which are generally imposed on broad categories, Federal excise taxes apply to specific commodi- ties. Another difference is that excise taxes are imposed per unit of a product (e.g., a pack of cigarettes), rather than as a percentage of the price. Federal excise taxes are imposed on a variety of products, the largest excise tax being on gasoline, which comprises nearly one-third of excise tax receipts. Other excise taxes include those on diesel fuel, domestic air passengers, distilled spirits, beer, cigarettes, and telephone services. Most Federal excise taxes are deposited into special “trust funds” dedicated to specific Federal activities. For example, the Federal excise taxes on gasoline, diesel fuel, and heavy tires go into the Highway Trust Fund, which is dedicated to highway construction and mainte- nance, and mass transit (see chapter 3-9). Economists refer to the gasoline excise tax as a “manufacturer’s excise tax” because the government levies it at the production phase for ease of collection, and the producers, refiners, or importers then pass it along to consumers in the form of higher prices. The gasoline excise tax currently amounts to 18.4 cents per gallon, of which 15.44 cents is dedicated to highways, 2.86 cents is dedicated to mass transit, and 0.1 cent goes to the Leaking Underground Storage Tank Trust Fund.36 Other excise taxes were imposed purely to raise revenues, such as telephone excise taxes and alcohol taxes. Finally, some excise taxes—in addition to raising revenue—are also imposed to influence behavior or reflect the societal impact of certain activities, such as the Federal excise taxes on tobacco. It is frequently argued that increasing the Federal tobacco tax would discourage 04_0part.qxp 11/20/07 10:25 AM Page 337

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teenage smoking, provide funds for anti-tobacco programs, and charge smokers for increased public health care costs. Unlike estate taxes and income taxes, which are generally viewed as “progressive” (i.e., imposing higher rates on higher increments of income), excise taxes on consumer products are viewed as “regressive” because they are passed on to consumers as higher prices that consume a higher proportion of income for lower-income people than for those with higher incomes. Because excise taxes are selectively imposed on certain commodities, they also tend to raise issues of “fairness.” For example, the commercial truck transportation industry com- plains that while heavy tires are taxed, no similar excise taxes are imposed on shipping com- petitors such as railroads and waterways.37 Customs Duties. In FY 2007, customs duties raised $26 billion—about 1% of Federal rev- enues.38 There are currently two trends affecting the level of customs duties being collected on imported products. First, because the level of imports into the United States is rising, the overall level of customs duties will tend to rise. However, this effect is partially offset as vari- ous bilateral, multilateral, and global trade agreements require the reduction or elimination of tariffs on imported goods. Miscellaneous Receipts. Miscellaneous Receipts raised $47 billion in FY 2007, almost 2% of Federal revenues.39 About two-thirds of this amount is attributable to receipts from Federal Reserve System earnings. These earnings arise from (1) interest that the Federal Reserve earns on its portfolio of securities and (2) gains from holdings of foreign currency.40 Miscellaneous Receipts also includes income from the Universal Service Fund—which taxes interstate and international telecommunications in order to subsidize service in schools, rural areas, and high-costs areas.

The “Tax Gap”

Law is not what the Congress passes. Law is what you are willing to enforce. Law without enforcement might just as well never be enacted. —Former IRS Commissioner and Chief Counsel Sheldon Cohen

The “tax gap” refers to the difference between the amount of taxes individual and corporate tax- payers owe under the law and the amount actually paid—in short, unpaid taxes. The “gross tax gap” refers to the total amount not paid on time, and the “net tax gap” subtracts out the amount that is eventually collected. For example, as displayed in figure 4.4, the IRS estimates that in tax year 2001 (the most recent year for which data has been collected and analyzed41), $345 billion in taxes owed were not paid on time, and after collection efforts, $290 billion remained unpaid.42 To get a sense of the magnitude of this shortfall, consider that the $290 billion net tax gap for 2001 is nearly double the most recent unified Federal Budget deficit of $163 billion. The tax gap is important for two fundamental reasons. First, as discussed in Part VI, our nation is facing rapidly growing and unsustainable debt as far as the eye can see due to rapidly rising Medicare and Medicaid spending, retirement of the baby boomers, and escalating defense spending. Closing the tax gap is one important component in making progress to redress the nation’s long-term fiscal imbalance. Second, the U.S. tax system is based on voluntary compliance. Needless to say, it is demor- alizing to law-abiding taxpayers, and damaging to overall compliance, to learn that hundreds of billions of dollars in taxes are not being paid. “The vast majority of Americans pay their 04_0part.qxp 11/20/07 10:25 AM Page 338

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FIGURE 4.4 The Tax Gap

Tax Gap, FY2001 Billions of Dollars

Net Tax Gap Gross Tax Gap

taxes accurately and are shortchanged by those who don’t pay their fair share,”said IRS Com- missioner Mark W. Everson in commenting on recent tax gap data.43 As reflected in table 4.3, according to the IRS, the largest component of the tax gap in 2001 was due to underreporting tax liability (by underreporting income or overstating deduc- tions or credits). The remainder was due to underpayment of taxes due from filed returns and nonfiling of required returns (altogether or on time). The IRS also found—not surprisingly—that compliance is greatest where there is both third party reporting and withholding. For example:

• Wages and salaries (which are subject to both third party reporting and withholding) have an underreporting percentage of only 1%; • Interest and dividend income (which are subject to third party reporting but no with- holding) have an underreporting percentage of 4.5%; • Capital gains (which are subject to only partial reporting and no withholding) have an underreporting percentage of 8.6%; and • Sole proprietor income and “other income,”which are not subject to third party report- ing or withholding, have a net underreporting percentage of 54%.44

Another contributing factor to the tax gap is the poor record of the Federal government in withholding procurement contracts from companies that are known to have underreported or underpaid their taxes. For example, the GAO reported that in 2002, more than 27,000 Defense contractors owed more than $3 billion in Federal taxes, yet many of these contrac- tors continued to receive Federal contract awards.45 04_0part.qxp 11/20/07 10:25 AM Page 339

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TABLE 4.3 Breakdown of the Gross Tax Gap: Tax Year 2001 Description of Taxes Unpaid in 2001 Gross Tax Gap Share of (most recent year for which data are available) ($ in billions) Total Gap Individual Income Tax—Underreporting 197 57% Underreported Business Income 109 Underreported Nonbusiness Income 56 Overstated Adjustments, Deductions, Exemptions, Credits 32 Employment Tax—Underreporting 54 16% Self-employment taxes (Social Security and Medicare taxes 39 or the self-employed) FICA (Social Security and Medicare Payroll Taxes) and 15 Unemployment Taxes Corporate Income Tax—Underreporting 30 9% Large Corporations 25 Small Corporations 5 Estate, Excise Taxes—Underreporting 4 1% Underpayment of Reported Income 33 10% Nonfiling of Timely Tax Returns 27 8% Gross Tax Gap (Noncompliance Rate: 16%)* 345* 100%

*After collection efforts, $290 billion remained unpaid (referred to as the “net tax gap”). Source: IRS.

There are differing views on how to close the tax gap. Treasury Department officials, in consultation with the IRS Oversight Board,46 have asked Congress to enact provisions that would (1) require credit and debit card companies to report their customers’ gross business receipts to IRS, (2) clarify the circumstances in which employee-leasing companies can be held liable for their clients’ employment taxes, (3) expand information reporting on pro- curements by governmental entities, and (4) expand the signature requirement and penalty provisions applicable to paid tax return preparers.47 At the same time, the union that represents IRS employees blames cuts in IRS staffing for the ongoing tax gap. The union asserts that the number of tax returns filed grew from 115 million in 1995 to 130 million in 2003.48 However, over the same time period, the number of IRS revenue officers and revenue agents shrunk by 40% and 30%, respectively.49 In reviewing the tax gap, the GAO suggested a results-oriented strategy: “Long-term, quantitative compliance goals, coupled with updated compliance data, would provide a solid base upon which to develop a more strategic, result-oriented approach to reducing the tax gap.”50 However, politics may get in the way. The Administration and Congress have tradi- tionally been reluctant to beef up IRS enforcement capacity.

Recommended Sources for More Information on the Tax Gap

• IRS: Tax Gap Graphic: www.irs.gov/pub/irs-news/tax_gap_figures.pdf; Senate Testimony of Com- missioner Mark Everson, September 26, 2006, http://hsgac.senate.gov/_files/Everson926.pdf. 04_0part.qxp 11/20/07 10:25 AM Page 340

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• Department of the Treasury, Office of Tax Policy: A Comprehensive Strategy for Reducing the Tax Gap, September 26, 2006, http://www.ustreas.gov/press/releases/hp111.htm. • GAO: Tax Compliance—Better Compliance Data and Long-term Goals Would Support a More Strategic IRS Approach to Reducing the Tax Gap, GAO-05-753 (Washington DC: July 18, 2005); Cap- ital Gains Tax Gap, GAO-06-603 (Washington DC: June 2006). • 2006 Annual Report of IRS Oversight Board: “Tax Gap a Serious Concern,” January 25, 2007, www.treas.gov/irsob/releases/2007/01252007.pdf. • National Treasury Employees Union: “White Paper: Reducing the Tax Gap,”September 26, 2006. • U.S. Congress, Joint Committee on Taxation: Options to Improve Tax Compliance and Reform Tax Expenditures, JCS-02-05, January 27, 2005.

How Do U.S. Taxes Compare with Those in Other Countries?

Myth: The tax burden for American taxpayers is higher than in most other Western nations.

Fact: Taxes in the United States are, in fact, low compared with those in most other developed countries. This is reflected in data collected by the Organisation for Eco- nomic Cooperation and Development (OECD) (see figure 4.5). The OECD is a group of 30 democratic countries with market economies, known for its expertise in collect- ing statistics.51

U.S. total tax revenue in 2003 was equivalent to 25.6% of the nation’s Gross Domestic Prod- uct.52 Federal taxes amounted to 16.5% of GDP, and State and local taxes account for the remainder.53 Japan and Korea had total tax revenue as a percentage of GDP roughly equal to the United States. Mexico is the only OECD member coming in lower, with a total tax rate of 19% of GDP. Compared with the United States, the following countries had higher total tax revenues, as a percentage of GDP, in 2003: Switzerland, Australia, Turkey, Canada, Poland, Spain, Ger- many, United Kingdom, Greece, Czech Republic, Hungary, Netherlands, Italy, Austria, France, Norway, Finland, Belgium, Denmark, and Sweden. Note that the U.S. tax rate of 25.6% of GDP is substantially lower than the average OECD rate of 36% and significantly lower than the Euro- pean Union average rate of 40.5%.54 Note also the low corporate tax rate in the United States as a percentage of GDP, com- pared with other market economies.

Tax Fairness, Reform, and Distribution of the Tax Burden

People want just taxes, more than they want lower taxes. They want to know that every man is paying his proportionate share according to his wealth.—Will Rogers, 192455

This quote from the great American humorist Will Rogers is insightful. Most people under- stand that if we want the nation to be well defended; our laws enforced; Social Security, Medicare, and Medicaid benefits paid to America’s elderly, disabled, and needy; our disabled 04_0part.qxp 11/20/07 10:25 AM Page 341

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FIGURE 4.5 Tax Revenue as a Percentage of GDP, 2003

06

05

04

03

02

01

0 Italy India Spain Korea Japan EU-15 Russia Austria France Mexico Finland Norway Canada Sweden Australia Denmark Germany Switzerland United States United Kingdom sexaT etaroproC sexaT latoT sexaT

Source: OECD Factbook 2006.

veterans cared for; our highways and bridges maintained; the water we drink, the air we breathe, and the food we eat to be healthy; prescription drugs to be safe; and our children to receive a solid education that gives them equal opportunities to succeed, a sufficient amount of tax revenue must be raised. At the same time, people want to know that everyone is pay- ing their “fair share.”Determining the “fair share” is, of course, the complex issue. Tax Fairness and the Flat Tax. In recent years, some have argued that a flat tax—under which everyone would pay the same percentage of their income—would be “simple” and “fair.” Unfortunately, no tax system is “simple,”because every tax system must define which “income” is subject to tax. Most everyone would agree that “income” includes wages, salaries and fees, but that is where the agreement ends. Should taxable income include interest? Dividends? Tips? Rental income? Earnings from retirement plans? Social Security benefits? Employer- provided health insurance? Disability benefits? Capital gains? Alimony? Employer-provided retirement benefits? Gifts? Inheritance? This is lesson No. 1 in the “metaphysics of taxation”: The issue of “What is income?” is inherently complex. No tax system can avoid this complexity. Addressing the question of “What is fair?” would seem on its face to be less complex than defining income. For example, what if we simply determined what level of taxation would raise the same amount of revenue as the current system if we applied a flat rate percentage across the board to all taxpayers (once we’ve determined what “income” is)? If, for the sake of argument, a 20% “flat” tax rate would accomplish this, would it not be the fairest way to raise revenues? 04_0part.qxp 11/20/07 10:25 AM Page 342

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Consider the following examples. Under a flat 20% tax rate, a family of four with an income of $30,000 would pay $6,000—money that would come at the expense of the most basic life necessities—food, clothing medicine, and shelter. A family of four with an income of $75,000 would pay $15,000 in tax—a significant burden, though not quite as difficult as the burden on the lower-income family. A family of four with an income of $125,000 would pay $25,000—resulting in important, but less critical, choices. A family of four with an income of $200,000 would pay $40,000 in tax—likely to be less than they are currently paying and not a sum that would impinge on the basics. Jumping up to a family of four with a million-dollar income: they would pay $200,000 in tax. Some would argue this amounts to little or no bur- den at all. In sum, under a 20% flat tax, the family earning $30,000 would pay to Uncle Sam money needed for the most basic necessities of life. As incomes go up, the burdensome nature of the flat tax would decrease and eventually be no burden at all to upper income taxpayers. This is lesson No. 2 in the metaphysics of taxation: A tax system, such as the “flat tax,” that may appear “fair” on its face, may not be fair at all when the real-life impact on families is closely examined. Tax Fairness and the Progressive Tax. This, in fact, is why the United States has settled on a “progressive” income tax, under which higher “brackets” of income are progressively taxed at higher rates. For example, in 2007, joint return income up to $15,650 is taxed at a 10% rate, while income over $349,700 is taxed at a 35% rate—with four additional tax brackets in between. The “fairness” of the progressive tax system has for many years been the premise of the Trea- sury Department’s analyses of proposed tax changes. In analyzing proposed changes, the Depart- ment typically examines the “distributional effects” of proposed tax legislation. (Distributional effects refer to how specific tax proposals would impact taxpayers at various income levels.) In a 1999 white paper discussing distributional analysis, the Department of the Treasury’s Office of Tax Analysis suggested that a “fair” tax law is generally considered to be “one under which individuals with equal abilities to pay taxes pay equal amounts, and individuals with greater abil- ities to pay taxes pay greater amounts.”56 The Treasury analysis concluded that the best way to measure the distributional fairness of tax legislation is by examining the percentage change in after-tax income at each of the various income levels. The rationale for focusing on after-tax income is that it reflects the actual income available to families to spend or save. An important caveat in any discussion of the progressive income tax system is that nearly 80% of Americans pay more payroll tax than income tax. While the income tax is progressive, the payroll tax is highly regressive. Each worker pays the same percentage, 7.65%, whether they earn $20,000 per year or $90,000 per year. Adding to the regressive nature of the payroll tax is that the Social Security portion of the tax (6.2%) is capped; that is, the tax is not levied on salaries or wages in excess of $97,500. Consequently, a head of household earning $97,500 per year pays the same Social Security payroll tax as a multibillionaire. This is lesson No. 3 in the metaphysics of taxation: Any analysis of the progressivity of the U.S. income tax must be tempered by the regressivity of the Federal payroll tax. Distributional Effects of Recent Tax Cuts. The tax cuts enacted since 2001 have been the subject of much debate. Table 6.1 (in Part VI) summarizes the six major tax cuts enacted since 2001. Briefly, the two largest tax cuts occurred in 2001 and 2003 and lowered marginal 04_0part.qxp 11/20/07 10:25 AM Page 343

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FIGURE 4.6 Distributional Effects of the 2001–2006 Tax Cuts

6

4

2 (percent)

0 Change in After-Tax Income After-Tax Change in 10-20 20-30 30-40 40-50 50-75 75-100 100-200 200-500 500-1,000 Less than 10 More than 1,000 )srallod 6002 fo sdnasuoht( ssalC emocnI hsaC emocnI ssalC sdnasuoht( fo 6002 )srallod

Source: www.taxpolicycenter.org, October 31, 2006.

tax rates, increased the child tax credit, provided marriage penalty relief, temporarily reduced the alternative minimum tax, began a phase-out of the estate tax, and reduced rates on divi- dend and capital gains income. Figure 4.6 displays the combined effects of the recent cuts on after-tax income. Analyzed from the perspective of how much the tax cuts increased after-tax income, taxpayers in the lower- and middle-income brackets saw their after-tax incomes increase between 2% and 4%, with the average increase being 3.2%. Taxpayers at the high end—the top one-fifth of 1% of income earners—benefited the most, with after-tax income increasing close to 6%. Another way to analyze the 2001–2006 tax cuts is to examine the share of the combined tax benefits accruing to each of the income groups (see figure 4.7). From this perspective, what stands out is that the largest share of the tax benefits—nearly one-quarter—accrued to the $100,000–$200,000 income group even though this income group constitutes only 10.4% of taxpayers. The other figure that stands out—and which has caused considerable debate—is that nearly 17% of the cumulative tax cut benefits accrued to the 0.2% of taxpayers earning over $1 million per year. The often-debated issue from a budgetary perspective is whether the sev- eral hundred billion dollars (over 10 years) in deficit financing required to pay for this high- income portion of the tax cuts was fiscally or economically justified. Some argue that the high-income cuts stimulate significant economic activity; others disagree, emphasizing the long-term economic costs of deficit-financing the cuts. 04_0part.qxp 11/20/07 10:25 AM Page 344

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FIGURE 4.7 The 2001–2006 Tax Cuts: Distribution of Tax Benefits

82 42 02 61 21 8 (percent) 4 0 10-20 20-30 30-40 40-50 50-75 75-100 Share of Total Federal Tax Change Federal Tax Share of Total 100-200 200-500 500-1,000 Less than 10 More than 1,000 sdnasuoht( ssalC emocnI hsaC emocnI ssalC sdnasuoht( fo 6002 )srallod

Source: www.taxpolicycenter.org, October 31 2006.

Recommended Sources for More Information on Tax Fairness, Reform, and Distribution of the Tax Burden

• CBO: Historical Effective Tax Rates: 1979 to 2002, March 2005, www.cbo.gov. • CRS: “Flat Tax Proposals and Fundamental Tax Reform: An Overview,” IB95060, www.opencrs .cdt.org/document/IB95060. • Final Report of the President’s Advisory Panel on Federal Tax Reform: www.taxreformpanel .gov/final-report/. • Joint Committee on Taxation: “Distributional Effects of the Conference Agreement on H.R. 1836” (JCX-52-01) May 26, 2001. • Tax Policy Center: “Distributional Effects of the 2001and 2003 Tax Cuts and Their Financing,” by William Gale, Peter Orszag (current CBO Director), and Isaac Shapiro, www.taxpolicycenter.org/ publications/url.cfm?ID=411018. Notes

1. Daniel B. Baker, ed., Political Quotations (Detroit: Gale Research, 1990), 220. 2. Data accompanying “Joint Statement on Budget Results for Fiscal Year 2007 (Washington D.C.: Treasury Department and Office of Management and Budget, October 11, 2007), table 2, http://treas.gov/press/releases/reports/ad,ditionaltable2.pdf. 04_0part.qxp 11/20/07 10:25 AM Page 345

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3. Baker, ed., Political Quotations, 218. Colbert was controller general of finance (from 1665) and secretary of state for the navy (from 1668) under King Louis XIV of France. He carried out the pro- gram of economic reconstruction that helped make France the dominant power in Europe. “Colbert, Jean-Baptiste,”in Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD]. 4. The elderly and blind are allowed an additional standard deduction. CRS, “Overview of the Fed- eral Tax System,”June 2, 2006, 1. 5. See chapter 3-8. 6. The maximum Child and Dependent Care Credit is 35% of costs up to $3000 for one individ- ual and $6,000 for two or more individuals. The rate is reduced when the taxpayer’s AGI exceeds $15,000. CRS, “Overview of the Federal Tax System,”June 2, 2006, 5. 7. These education credits, enacted in 1997, provide benefits for postsecondary education. For those who are eligible, a credit of 100% of a portion of tuition and 50% of an additional portion applies for the first two years of undergraduate tuition. CRS, “Overview of the Federal Tax System,”5. 8. Extra standard deductions are allowed for the blind and elderly. 9. 2007 Federal Tax Rate Schedule: www.irs.gov/formspubs/article/0,,id=164272,00.html. 10. National Taxpayer Advocate, “2003 Annual Report to Congress,”5. 11. CRS, “Alternative Minimum Taxpayers by State,”March 17, 2005, 1. 12. The AMT exemption amount as of 2006 is $58,000 for joint returns and $40,250 for single and head of household returns, but these amounts may revert to lower levels if AMT relief is not extended in 2007. 13. “The Taxpayer Advocate Service is an IRS program that provides an independent system to assure that tax problems, which have not been resolved through normal channels, are promptly and fairly han- dled....Each state and campus has at least one local Taxpayer Advocate, who is independent of the local IRS office and reports directly to the National Taxpayer Advocate. The goals of the Taxpayer Advocate Service are to protect individual and business taxpayer rights and to reduce taxpayer burden. The Tax- payer Advocate independently represents (taxpayer) interests and concerns with the IRS.” See www.irs.gov/advocate/. 14. More specifically, the regular income tax brackets are indexed annually for inflation (a measure adopted in the 1980s in response to so-called bracket creep), while the AMT exemption amount is not indexed for inflation. 15. Gregg Esenwein and Steven Maguire, “The Potential Distributional Effects of the Alternative Minimum Tax,”RS22200 (Washington, D.C.: Congressional Research Service, June 15, 2007), 4. 16. CBO, “Revenue and Tax Policy Brief: The Alternative Minimum Tax,”April 15, 2004, p1. 17. Esenwein and Maguire, “The Potential Distributional Effects,”2. 18. Gregg Esenwein and Steven Maguire, “The Alternative Minimum Tax for Individuals,”RL30149 (Washington D.C.: Congressional Research Service, August 22, 2007), summary. 19. Esenwein and Maguire, “The Alternative Minimum Tax for Individuals,”8. 20. Greg Esenwein and Jane Gravelle, “Modifying the AMT: Revenue Costs and Potential Revenue Offsets,” RL33899 (Washington D.C.: Congressional Research Service, March 6, 2007), summary; and Heather Rothman, “Finance May Move One-Year AMT Patch with Two-Year Tax Extenders Provision” (Washington D.C.: BNA Daily Tax Report, October 17, 2007), G-7. 21. Unemployment Insurance tax receipts amount to about 5% of payroll tax receipts. 22. See chapter 3-4, note 1. 23. U.S. Social Security Administration, Fact Sheet on 2008 Social Security Changes, October 2007. 24. Jane Gravelle, “Economic Issues Surrounding the Estate and Gift Tax: A Brief Summary,”RS20609 (Washington D.C.: Congressional Research Service, January 23, 2006), 2. 25. In 2010, the estate tax will be replaced with a provision to tax appreciation on inherited assets. 04_0part.qxp 11/20/07 10:25 AM Page 346

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26. Married couples can make gifts of $24,000 to each individual. 27. Jane Gravelle, “Economic Issues Surrounding the Estate and Gift Tax: A Brief Summary,”2. 28. Jane Gravelle and Steven Maguire, “Estate Taxes and Family Businesses: Economic Issues,” RL33070 (Washington D.C.: Congressional Research Service, September 8, 2006), summary. 29. Congressional Budget Office, “Effects of the Federal Estate Tax on Farms and Small Businesses,” July 2005, 13–15. 30. New York Times, “Few Wealthy Farmers Owe Estate Taxes, Report Says,”July 10, 2005, 21. 31. Joint Committee on Taxation, Estimated Revenue Effects of H.R. 8, the Death Tax Permanency Act of 2005, JCX-20-05, 109th Congress, April 13, 2005. 32. Property passing from a decedent’s estate generally receives a “stepped-up” basis, which means that the heirs’ basis in the inherited property is the fair market value of the asset as of the date of death (or an alternate valuation date up to six months after death). This stepped-up basis allows a beneficiary of an estate who sells the property to avoid tax on any appreciation in the property’s value that occurred before the decedent’s death. 33. See, for example, www.forbes.com/lists/2006/54/biz_06rich400_The-400-Richest-Americans_ land.html. 34. Reba Collins, ed., Will Rogers Says . . . (Oklahoma City: Neighbors and Quaid, 1993), 23. 35. Henry Paulson, Secretary of the Treasury, and , OMB Director, “Joint Statement on Budget Results for Fiscal Year 2007,”October 11, 2007, table 2. 36. See Pamela Jackson, “The Federal Excise Tax on Gasoline and the Highway Trust Fund: A Short History,”RL30304 (Washington D.C.: Congressional Research Service, April 4, 2006). 37. See Louis Alan Talley and Pamela Jackson, “Federal Excise Tax on Tires: Where the Rubber Meets the Road,”RL30302 (Washington D.C.: Congressional Research Service, October 6, 2005). 38. Paulson and Nussle, “Joint Statement,”table 2. 39. Paulson and Nussle, “Joint Statement,”table 2. 40. Congressional Budget Office, The Budget and Economic Outlook: Fiscal Years 2007 to 2016, Jan- uary 2006. 41. In order to develop estimates of the tax gap for FY 2001, the IRS launched the National Research Program, a three-year study involving the review and examination of 46,000 randomly selected returns. The audits were completed by the end of 2005. Internal Revenue Service, “IRS Updates Tax Gap Esti- mates” (IR-2006-28), February 14, 2006. 42. Internal Revenue Service, “IRS Updates Tax Gap Estimates.” 43. Internal Revenue Service, “IRS Updates Tax Gap Estimates.” 44. Internal Revenue Service, Written Testimony of Commissioner Mark Everson before the Senate Homeland Security and Governmental Affairs Committee on Uncollected Taxes and the Issue of Trans- parency, September 26, 2006, www.hsgac.senate.gov/_files/Everson926.pdf. 45. Internal Revenue Service, National Taxpayer Advocate, 2004 Report to Congress, executive sum- mary, II-4. 46. The IRS Oversight Board was created by law in 1998. The mission of the nine-member board is to “oversee the IRS in its administration, management, conduct, direction, and supervision of the execution and application of the internal revenue laws and to provide experience, independence, and stability to the IRS so that it may move forward in a cogent, focused manner.”See www.trea.gov/irsob/index.html. 47. Internal Revenue Service, Written Testimony of Commissioner Mark Everson. 48. Bureau of National Affairs, “Everson Says Legislative Proposals, Funding Key to Closing Annual $290 Billion Tax Gap,” Daily Tax Report, February 16, 2006. 49. The number of IRS revenue officers and revenue agents shrunk by 40% (8,139 to 5,004) and 30% (16,078 to 11,513), respectively. National Treasury Employees Union (NTEU) press release, September 26, 2006, http://www.nteu.org/PressKits/PressRelease/PressRelease.aspx?ID=967. 04_0part.qxp 11/20/07 10:25 AM Page 347

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50. U.S. Government Accountability Office, “Tax Compliance: Better Compliance Data and Long- term Goals Would Support a More Strategic IRS Approach to Reducing the Tax Gap,” GAO-05-753, July 2005. 51. For more information on the OECD, see www.oecd.org. 52. OECD Factbook 2006, Public Finance: Total Tax Revenue as a percentage of GDP (2003). 53. Office of Management and Budget, Budget of the U.S. Government: FY 2008, Historical Tables (Washington DC: Government Printing Office, February 2007), 24. 54. OECD Factbook 2006, Public Finance: Total Tax Revenue as a percentage of GDP (2003). 55. Collins, ed., Will Rogers Says . . . , 25. 56. Department of the Treasury, Office of Tax Analysis, U.S. Treasury Distributional Analysis Method- ology (OTA Paper 85), September 1999, www.ustreas.gov/ota/ota85.pdf. 04_0part.qxp 11/20/07 10:25 AM Page 348 05_0part.qxp 11/19/07 7:29 PM Page 349

PART V

TAX EXPENDITURES: SPENDING ON THE REVENUE SIDE

The nation’s long-term fiscal imbalance provides an . . . impetus for reexamining all major spending and tax provisions. This includes tax incentives and subsidies intended to promote various social and economic objectives.—Government Accountability Office, 2005 Tax expenditures are reductions in tax liabilities that result from • excluding or exempting items from gross income (“tax exclusions”), • deducting items from either gross income or adjusted gross income (“tax deductions”), • granting preferential tax rates for certain items of income (“tax preferences”), • applying credits to directly reduce taxes owed (“tax credits”), or • deferring tax liability on certain types of income (“tax deferrals”).

In the context of budgeting, these are collectively referred to as “tax expenditures” because the government foregoes revenues it would have otherwise collected.1 (Colloquially, they are often referred to as “tax preferences” and “tax breaks”—or as “tax loopholes” by those who disagree with particular provisions.) In effect, tax expenditures are “spending on the revenue side” of the budget because pol- icymakers have written into the Tax Code provisions that reduce Federal taxes in order to achieve specific policy outcomes such as encouraging home ownership, financing postsec- ondary education, assisting a particular industry, or stimulating research and development. Tax expenditures may also be viewed as the revenue equivalent of spending entitlements (see chapter 2-9). For example, just as Americans 65 and older are legally entitled to Medicare hospital insurance benefits (on the spending side of the Federal Budget), employees who receive health insurance from their employers are entitled to exclude the employer-paid premiums

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from their gross income. In both examples, eligible individuals are legally entitled to specific benefits—one on the spending side of the Budget, the other on the revenue (tax) side. Annual tax expenditures are growing both in number and in dollar amount. From 1974 to 2004, the number of tax expenditures reported by the Treasury Department more than doubled, from 67 to 146;2 some were repealed during that time, but many more were added. As reflected in figure 5.1, the aggregate dollar amount of tax expenditures is approaching a tril- lion dollars per year—nearly as much as total discretionary spending. As with spending programs, one cannot generalize about tax expenditures. As displayed in table 5.1, tax expenditures are as varied in purpose and operation as programs on the spending side of the budget. Nevertheless, because of the enormous aggregate impact4 of tax expenditures on Federal revenues, it is important to understand their global impact on the Federal Budget and U.S. economy. The GAO recently conducted a comprehensive review of tax expenditures and recom- mended that the “Office of Management and Budget (OMB), consulting with the U.S. Depart- ment of the Treasury, take several steps to ensure greater transparency of and accountability for tax expenditures by reporting better information on tax expenditure performance and more fully incorporating tax expenditures into federal performance management and bud- get review processes.”5 This is sound advice for two reasons: (1) oversight of Federal programs can only be fully effective if policymakers examine spending programs and related tax expenditures, and (2) the unsustainable explosion of Federal debt projected as far as the eye can see (discussed in Part VI) requires that policymakers carefully and regularly review the efficacy of all Federal tax expenditures. Unfortunately, OMB rejected the GAO recommendations6 and has thus far not applied either the GPRA or PART performance review processes (explained in chapter 2-7) to the nearly $1 trillion of annual tax expenditures.

FIGURE 5.1 Comparison of Spending, Revenues, and Tax Expenditures 3

5.2

2

5.1

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0 serutidnepxE xaTgnidnepS latoTseuneveR latoT latoTseuneveR xaTgnidnepS serutidnepxE

Sources: CBO, CRS, and GAO.3 05_0part.qxp 11/19/07 7:29 PM Page 351

TAX EXPENDITURES: SPENDING ON THE REVENUE SIDE 351

TABLE 5.1 FY 2007 Estimated Tax Expenditures (in billions of dollars)

MAJOR TAX EXPENDITURES—INDIVIDUAL AND CORPORATE (FY 2007 Estimates in Billions of Dollars) Est. Estimated 2007 TAX DESCRIPTION/ 2007 Total Cost by EXPENDITURE PURPOSE Cost Ind. Corp. Category Health Exclusion: employer-paid 141 X 200 health premiums *Exclusion of Medicare 40 X benefits Deductibility of medical 4 X expenses Deductibility of self-employed 4 X health premiums Deductibility: health-related 5 X X charitable contributions Medical/Health Savings 1 X X Accounts Exclusion-interest on hospital 4 X X construction bonds Payments to employers to 1 maintain Rx drug plans Tax credit for orphan drug 0.3 X research

Home Deduction of mortgage interest 80 X 134 Ownership Capital gains rollover 37 X Deductibility of property taxes 16 X on owner-occupied Exclusion of interest on 1 X X mortgage subsidy bonds

Business- Accelerated depreciation- 51 X X 117 related machinery/equip Deferral of income: controlled 12 X foreign corps Deduction—U.S. production 11 X X activities Expensing R&E costs 6 X Expensing of small investments 5 X Graduated corporate income 4 X tax rate (Continued) 05_0part.qxp 11/19/07 7:29 PM Page 352

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TABLE 5.1 FY 2007 Estimated Tax Expenditures (in billions of dollars) (Continued) Est. Estimated 2007 TAX DESCRIPTION/ 2007 Total Cost by EXPENDITURE PURPOSE Cost Ind. Corp. Category Business- Exclusion—income earned 3 X related abroad by U.S. citizens *Deferral of gain on like-kind 3 X exchanges Special Employee Stock Option 2 X X Plan Rules Extraterritorial income 2 X exclusion Tax Deferral for Financial Firms 2 X Expensing of Research and 6 X X Experimentation Credit for increasing research 10 X X activities

Pension/ Exclusion of employer pension 50 X 111 Retirement contributions Exclusion of 401(k) 42 X contributions Exclusion of “Keogh” 11 X contributions Exclusion of IRA 6 X contributions/earnings Additional deduction 2 X for elderly

Capital gains Preferential 15% rate for 52 X 52 capital gains income (except agriculture, timber, iron ore, coal)

Religious/ Deductibility of religious and 40 X X 41 charitable charitable contributions (other than education or health) Clergy: “housing allowance” 0.5 X

Children/ Child Tax Credit 33 X 35 Families Adoption credit and exclusion 0.6 X Exclusion of foster care 0.5 X payments Assistance—adopted foster 0.4 X children 05_0part.qxp 11/19/07 7:29 PM Page 353

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TABLE 5.1 FY 2007 Estimated Tax Expenditures (in billions of dollars) (Continued) Est. Estimated 2007 TAX DESCRIPTION/ 2007 Total Cost by EXPENDITURE PURPOSE Cost Ind. Corp. Category State/local taxes Deductibility of nonbusiness 34 X 34 state and local taxes (other than an owner-occupied home)

Community Exclusion: interest on state 30 X X 33 Development and local bonds for various public purposes Empowerment zones and 1 X X renewal communities Exclusion: interest on 1 X X airport/dock bonds New markets tax credit— 0.8 X X $830M

Capital gains At death, heirs receive a 33 X 33 on inherited “stepped-up” basis on property property (i.e. they are not taxed on the appreciation).

Social Security Exclude retiree benefits (except 18 X 26 benefits for higher-income beneficiaries who are taxed on a portion of benefits) Exclude Social Security 5 X disability benefits Exclude dependents’ and 3 X survivors’ benefits

Employee *Exclusion of miscellaneous 7 X 23 benefits fringe benefits Exclusion of workers’ comp 6 X benefits *Exclusion—income earned 2 X by voluntary employee beneficiary associations Exclusion—reimbursed 3 X employee parking

(Continued) 05_0part.qxp 11/19/07 7:29 PM Page 354

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TABLE 5.1 FY 2007 Estimated Tax Expenditures (in billions of dollars) (Continued) Est. Estimated 2007 TAX DESCRIPTION/ 2007 Total Cost by EXPENDITURE PURPOSE Cost Ind. Corp. Category Exclusion of premiums: group 2 X term life insurance Exclusion of employee meals 1 X and lodging Exclusion of employer- 0.9 X provided child care Exclusion of employer- 0.6 X provided transit passes Exclusion of accident/ 0.3 X disability insurance

Insurance Exclusion of interest on life 20 X X 22 insurance savings *Special treatment—life 2 X insurance company reserves

Higher Deductibility: charitable 5 X X 21 education contributions for education HOPE tax credit 3 X Lifetime Learning tax credit 2 X Parental personal exemption X for students ages 19–23 3 Exclusion of scholarship and 2 X fellowship income Exclusion of interest on bonds 2 X X for private education Deduction for higher education 1 X expenses Deductibility of student loan 0.8 X interest Exclusion: earnings of 529 0.8 X education savings accounts Exclusion of employer-provided 0.6 X assistance Exclusion of interest on student 0.6 loan bonds 05_0part.qxp 11/19/07 7:29 PM Page 355

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TABLE 5.1 FY 2007 Estimated Tax Expenditures (in billions of dollars) (Continued) Est. Estimated 2007 TAX DESCRIPTION/ 2007 Total Cost by EXPENDITURE PURPOSE Cost Ind. Corp. Category Rental housing Accelerated depreciation- 11 X X 19 rental housing Exception from passive loss 7 X rules: rental housing Interest exclusion-rental 1 X X housing bonds

Low-income Earned Income Tax Credit 5 X 15 assistance (revenue loss) 7 Credit for low-income 5 X X housing investments Credit for child/dependent 3 X care expenses Low-income savers’ credit 0.7 X Exclusion of public assistance 0.5 X X benefits Work Opportunity Tax Credit 0.4 X X Welfare-to-Work Tax Credit 0.1 X

Military and Exclusion of vets’ death benefits/ 4 X 10 Veterans’ benefits disability comp Exclusion—Armed Forces 3 X benefits *Exclusion—medical care and 2 X TRICARE medical insurance for military dependents, retirees Exclusion of GI bill benefits 0.3 X Exclusion of veterans pensions 0.2 X Exclusion of military disability 0.1 X pensions

Energy, Alternative fuel production 2 X X 7 environment, credit natural Expensing of fuel exploration 0.9 X X resources8 and development New technology credit 0.7 X X Fuels: excess percentage over 0.8 X X cost depletion

(Continued) 05_0part.qxp 11/19/07 7:29 PM Page 356

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TABLE 5.1 FY 2007 Estimated Tax Expenditures (in billions of dollars) (Continued) Est. Estimated 2007 TAX DESCRIPTION/ 2007 Total Cost by EXPENDITURE PURPOSE Cost Ind. Corp. Category *Special tax rate for nuclear 0.6 X decommissioning Exclusion of interest on 0.6 X X bonds for waste facilities Expensing—timber growing 0.3 X X costs Credit for energy efficiency 0.4 X improvements Nonfuel minerals: excess over 0.5 X X cost depletion Credit/deduction: clean-fuel 0.3 X vehicles Energy-efficient commercial 0.2 X X buildings Amortize geological 0.1 X X expenditures/oil exploration Biodiesel producer credits 0.1 X

Credit unions Exemption of credit union 1 X 1 income

Savings bonds Deferral of interest on 1 X 1 savings bonds

Agriculture Agriculture-related tax 1 X X 1 related9 preferences Note: This table includes all tax expenditures costing more than $2 billion per year and a sampling of tax expenditures costing less than $2 billion per year. Source: Treasury Department estimates as set forth in the President’s Budget for FY 2008, except for items marked with an (*) asterisk, which are Joint Committee on Taxation estimates.10

Significant Tax Expenditures Health Care The largest tax expenditure in the Tax Code is the exclusion of employer-paid health insur- ance premiums from employee income. The exclusion is designed to encourage employer- provided health insurance. The estimated cost of this tax expenditure in FY 2007 is $141 05_0part.qxp 11/19/07 7:29 PM Page 357

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billion. In order to provide a similar type of tax benefit to self-employed individuals, the Con- gress amended the Tax Code to make self-employed health insurance premiums fully deductible. Other health-related tax expenditures include (1) the exclusion from income of Medicare benefits, (2) the deductibility of medical expenses exceeding 7.5% of adjusted gross income (AGI), (3) the exclusion of interest earned on government bonds issued to finance hospital construction, and (4) a tax credit for the clinical testing of “orphan drugs” (i.e., drugs that treat rare physical conditions or rare diseases).

Home Ownership The second-largest tax expenditure—and probably the best known—is the deduction for mortgage interest paid on owner-occupied homes. Taxpayers who itemize their deductions are permitted to deduct this interest on primary and secondary homes. In addition, home owners may deduct interest on up to $100,000 of home equity loans. The mortgage interest deduction is one of the best examples of using the Tax Code to encourage particular behaviors and boost certain sectors of the economy. This tax expendi- ture, projected to cost $80 billion in FY 2007, encourages Americans to own their homes. In addition, from a macroeconomic perspective, it is also a cornerstone of the home-building sector. Another tax expenditure that boosts home ownership is the capital gains exclusion on home sales. A homeowner can exclude from tax up to $500,000 ($250,000 for singles) of the capital gains from the sale of a principal residence. A third item that assists homeowners is the deduction for property taxes paid on owner- occupied houses. This provision also assists the localities in which the homes are located by, in effect, reducing the financial impact of property taxes on homeowners—thereby allowing localities to raise higher amounts of revenue.

Families and Children Another well-known tax credit is the “child tax credit.” Under this provision, middle- and low-income taxpayers with children under age 17 are entitled to a $1,000 per child credit against the Federal taxes they owe.11 In addition, the tax credit is “partially refundable,” which means that even if a family does not owe any tax against which to apply the credit, they will nevertheless receive a “refund” check from the Treasury for part of the $1,000 credit. These “refund” checks are treated as Federal outlays (on the spending side of the budget). The estimated FY 2007 cost of the Child Credit is $33 billion in reduced revenues and $15 billion in outlays. Several smaller tax expenditures assist families in other ways. The adoption credit allows taxpayers a tax credit for various types of adoption expenses (phased out for higher-income taxpayers). Taxpayers may also exclude certain adoption expenses from income. Foster parents who provide a home and care for children who are wards of the State may exclude compensation received for this service from their calculation of adjusted gross income.12 05_0part.qxp 11/19/07 7:29 PM Page 358

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Higher Education The Tax Code includes more than a dozen tax expenditures for higher education, totaling over $20 billion. The largest of these is the deductibility of charitable contributions for education, estimated at $4 billion for FY 2007. The largest item specifically created for higher education is the HOPE tax credit, which allows lower- and middle-income families up to a $1,500 credit for a student’s tuition and fees during the first two years of higher education. A similar credit, the Lifetime Learning Credit, allows up to a $2,000 credit per year for lower- and middle-income families for both undergraduate and graduate education. Together, the two tax expenditures cost about $5 billion per year.13 Other provisions include permission for parents to claim a personal exemption for depen- dent students between 19 and 23; an exclusion for scholarship and fellowship income; an exclu- sion for interest earned on government bonds to finance construction of education facilities; a deduction for up to $2,500 of interest paid on an education loan; an exclusion of earnings on Section 529 college savings accounts; an exclusion from income for employer-provided edu- cation assistance; an exclusion for interest earned on State and local bonds issued to finance student loans; and income earned on “education IRAs” when used to pay for tuition and fees.

Business-Related Tax Expenditures The Tax Code includes a number of significant tax provisions to stimulate various economic activities. For example, research and experimentation (R&E) costs can be “expensed”—that is, deducted in the year incurred. In addition, the R&E tax credit reduces a business’s corpo- rate income taxes if it increases R&E above a specified base amount. Certain industries have been provided with industry-specific tax preferences. For exam- ple, the energy industry has been provided with significant tax incentives to spur domestic production of oil and gas, as well as to develop alternative energy sources. Other sectors receiving special tax preferences include the nonfuel minerals industry, the timber industry, the agriculture industry, credit unions, and the life insurance industry. The nonfuel minerals industry is permitted to expense (deduct in their entirety in the year incurred) capital outlays associated with exploration and development of nonfuel minerals.14 Certain timber sales are taxed at the lower capital gains rate rather than as ordinary income, and most of the production costs of growing timber may be expensed in the year incurred rather than deducted when the timber is sold.15 The largest agricultural tax expenditure per- mits sales of certain agricultural products, such as unharvested crops, to be taxed at the cap- ital gains rate rather than as ordinary income. Other provisions allow farmers to expense items such as feed and fertilizer in the year of purchase. Farmers are also permitted to lower their tax liability through income-averaging over a three-year period.16 Credit unions receive favored tax treatment by not being taxed on undistributed earnings.17 Investment income earned on certain types of life insurance contracts is exempt from income tax, and small life insurance companies are entitled to a special deduction.18

Religious and Charitable Contributions Under the Establishment Clause of the Constitution, the government is clearly prohibited from providing direct financial support for specific religious institutions or activities. How- 05_0part.qxp 11/19/07 7:29 PM Page 359

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ever, the Federal government, through the Tax Code, does provide substantial indirect support for religious activities. First, there is an interesting provision called the “parsonage allowance.”It used to be the case that many churches provided a house for their clergy called parsonages. As church prop- erty, such parsonages were regarded as tax exempt and were therefore not taxed as income to the clergy residing there. Eventually many churches—along with most synagogues—began providing their clergy with “housing or parsonage allowances” in lieu of an actual parsonage. The IRS responded by determining that a member of the clergy living in a parsonage building owned by the Church, or receiving a monetary allowance for private housing, should be equally treated as exempt from taxation. The result is that this half-billion-dollar annual tax expenditure allows religious organizations to declare a portion of their clergy’s salary as a “housing allowance,”making a significant portion of their salary effectively exempt from Fed- eral income tax. The Tax Code provides a second type of indirect, but substantial, support of religious activ- ities, by making contributions to religious organizations tax deductible as charitable contri- butions. In effect, this means that contributions made specifically to support the religious activities of a church, synagogue, or mosque are treated as fully deductible, whether paid as “annual dues,”a tithe, or in whatever form collected. Neither the President’s Budget for FY 2007 nor the JCT estimates specify how much of charitable contributions are aimed specifically at support of religious activities. However, since deductibility of charitable contributions “other than education and health” is estimated at $40 billion, one may surmise that deductible reli- gious contributions are substantial. Similar to the parsonage allowance, the deductibility of these contributions are, in effect, indirect government support of religious activities.

Encouraging Americans to Save for Retirement Various pension provisions are good examples of using the Tax Code to encourage particu- lar behavior—in this case, setting aside money for retirement. Pension-related tax expendi- tures are estimated to cost $111 billion in FY 2007. The largest of these provisions is the exclusion of employer-provided pension contribu- tions from employees’ income. In addition, the earnings from the employer’s contribution are not taxed until funds are withdrawn by the employee. These provisions together amount to a $50 billion tax expenditure and are an incentive for employers and employees to make pen- sion contributions part of compensation packages. Employee contributions to 401(k) or similar retirement savings plans are also excluded from income. 401(k) plans are retirement savings plans offered by a company to its employ- ees, allowing them to set aside income for retirement purposes. The income placed in the accounts is excluded from taxation. In some cases, employers match employee contributions dollar-for-dollar. For FY 2007, employees may contribute $15,500 of income to their 401(k)— all of which is exempt from tax. The investment income earned by 401(k)-type plans is deferred until withdrawn. This provision is estimated to cost about $42 billion in FY 2007. Similar types of tax-preferred retirement savings plans are available for self-employed individuals and small businesses. These retirement plans—known as Keogh, SIMPLE, and SEP plans—all permit the self-employed individual or small business to annually exclude from gross income a specified percentage up to a maximum dollar amount. In each case, like the 05_0part.qxp 11/19/07 7:29 PM Page 360

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401(k), earnings on funds placed in the account are not taxed until withdrawn. The tax expen- diture for Keogh contributions in FY 2007 is estimated at $11 billion. Individual retirement accounts (IRAs) are another type of tax incentive aimed at encour- aging people to save for retirement. A traditional IRA allows an eligible individual to place up to $4,000 annually in the account and deduct the entire amount from AGI. Roth IRAs, while not providing an up-front deduction, allow earnings to grow tax-free. For those whose income level is too high to qualify for the traditional IRA or Roth IRA, nondeductible IRAs are available that defers tax on earnings until funds are withdrawn at retirement. For FY 2007, the tax expenditure for all types of IRAs is estimated at $6 billion.

Energy and Environment Tax provisions related to energy production and environmental protection provide additional examples of how tax policy can be used to influence behavior. For example, several Tax Code provisions are designed to stimulate domestic energy production:

• Costs incurred in drilling oil and gas wells can be expensed (deducted) during the year they are incurred—within certain limitations—rather than amortized (spread out) over the productive life of the well. • Independent fuel mineral producers (oil, gas, oil shale, coal, uranium) are permitted to deduct a percentage of gross income, rather than deducting costs over the life of the prop- erty. Unlike depreciation or amortizing costs, percentage depletion is permitted to exceed the cost of the investment. • Accelerated depreciation (deduction of capital costs over time) is used to incentivize new gas distribution pipelines.

Other provisions are designed to spur conservation as well as development of alternative, envi- ronmentally-friendly energy sources:

• A credit for synthetic fuels produced from coal, as well as gas produced from biomass (energy from wood, garbage, and agricultural waste); • A new technology credit for equipment that produces energy from solar, wind, geother- mal, biomass, poultry waste, small irrigation, municipal waste, and certain types of coal; • An income tax credit for use of ethanol; • A tax credit and deduction for clean-fuel vehicles (e.g., gas-electric hybrids); • A tax credit for investing in clean coal facilities; • A deduction for energy-efficient commercial buildings and credits for new energy-efficient homes, energy efficiency improvements to existing homes, and installation of solar technology; • A credit for the manufacture of energy-efficient home appliances; • A gasoline excise tax credit for use of alternative fuels; and • A tax credit for farmers using biodiesel fuel.

Subjecting Tax Expenditures to a Reasonable Level of Scrutiny A significant anomaly of the current budget process is that spending programs typically receive close scrutiny by multiple congressional committees, but tax expenditures receive compara- 05_0part.qxp 11/19/07 7:29 PM Page 361

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tively little scrutiny. Part of this is undoubtedly due to ideology. Any proposal to terminate a tax expenditure can easily be criticized by opponents as a “tax increase.” In addition, neither the Congress nor the Executive Branch is structured in ways that sub- mit tax expenditures to performance-based assessments. For example, the higher education tax expenditures are rarely, if ever, analyzed by the congressional committees with expertise in education, nor does the Department of Education review the education tax expenditures. The expenditures are designed, considered, and legislated by the Department of the Treasury, the House Ways and Means Committee, and the Senate Finance Committee. The Century Foundation Working Group on Tax Expenditures recently proposed that tax expenditures be subjected to the following scrutiny:

• Why is a government tax expenditure program necessary at all? • What are the objectives of the tax expenditure, and how will success or failure be measured? • What evidence can be cited that suggests the tax break will accomplish these objectives at an acceptable cost? • Why is a tax break better than a direct spending program for accomplishing this purpose?

Considering that tax expenditures cost nearly a trillion dollars each year—nearly as much as total discretionary spending—it would seem a matter of common sense to require routine, performance-based reviews that include scrutiny by the agencies of government and con- gressional committees possessing relevant knowledge and expertise.

Recommended Sources for More Information Tax Expenditures

• U.S. Congress, Joint Committee on Taxation: “Estimates of Federal Tax Expenditures for Fiscal Years 2007–2010,”(JCS-3-07), September 24, 2007; “Options to Improve Tax Compliance and Reform Tax Expenditures,”JCS-02-05, January 27, 2005. • GAO: “Tax Expenditures Represent a Substantial Federal Commitment and Need to Be Reexamined,” GAO-05-690, September 2005. • OMB: Budget of the U.S. Government, FY 2008, Analytical Perspectives, 285–327, http://www.white- house.gov/omb/budget/FY2007/pdf/spec.pdf. • U.S. Congress, Senate Budget Committee: “Tax Expenditures: Compendium of Background Mate- rial on Individual Provisions,”S. Prt. 108-54. • CRS: “Tax Expenditures: Trends and Critiques,”RL33641, September 13, 2006. • Harvard University Press: Tax Expenditures, by Stanley Surrey and Paul McDaniel, 1985. • The World Bank: Tax Expenditures—Shedding Light on Government Spending through the Tax Sys- tem, 2004.

Notes

1. The term tax expenditure was first used in the mid-1960s by Stanley Surrey, the Assistant Secre- tary for Tax Policy in the Johnson Administration. See Thomas Hungerford, “Tax Expenditures: Trends and Critiques,” RL33641(Washington D.C.: Congressional Research Service, December 7, 2006). The term was later defined in §3(3) of the Congressional Budget and Impoundment Control Act of 1974 (P.L. 93-344) as “those revenue losses attributable to provisions of the Federal tax laws which allow a special exclusion, exemption, or deduction from gross income or which provide a special credit, a pref- erential rate of tax, or a deferral of tax liability.” 05_0part.qxp 11/19/07 7:29 PM Page 362

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2. GAO, “Government Performance and Accountability: Tax Expenditures Represent a Substantial Federal Commitment and Need to Be Reexamined,” GAO-05-690 (Washington D.C.: Government Accountability Office, September 2005), 21. 3. Spending, revenue, and deficit figures: Congressional Budget Office, The Budget and Economic Outlook: An Update, August 2006; Tax expenditures estimate: Congressional Research Service, Tax Expenditures: Trends and Critiques, September 13, 2006; and Tax gap estimate: interview of Senate Finance Committee staff, October 31, 2006. 4. The Office of Management and Budget has estimated total tax expenditures for FY 2007 at $911 billion. U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2008, Analytical Per- spectives, table 19-1, 287. However, note the Government Accountability Office’s caveat that “the sum of the individual revenue loss estimates has important limitations in that any interactions between tax expenditures will not be reflected in the sum....[T]ax expenditure revenue loss estimates for specific provisions do not take into account potential behavioral responses to changes in these provisions on the part of taxpayers, and, in turn, no potential behavioral response would be reflected in the sum of the estimates. Thus, the revenue loss from all or several tax expenditures together might be greater or less than the sum of the estimated revenue losses from the individual tax expenditures, and no measure of the size or the magnitude of these potential interactions or behavioral responses to all or several tax expenditures is available.”GAO, “Government Performance and Accountability,”3. 5. GAO, “Government Performance and Accountability,”highlights. 6. GAO, “Government Performance and Accountability,”highlights. 7. The Earned Income Tax Credit is a “refundable tax credit,” which means that it not only erases low-income workers’ tax liability (resulting in a revenue loss) but also entitles eligible low-income work- ers to a Federal payment (resulting in Federal outlays of $36 billion in FY 2007). 8. For a complete list of tax expenditures in this category, see U.S. Office of Management and Bud- get, Budget of the U.S. Government: FY 2008, Analytical Perspectives, Table 19-1, 287. 9. For a complete list of tax expenditures in this category, see U.S. Office of Management and Bud- get, Budget of the U.S. Government: FY 2008, Analytical Perspectives, Table 19-1, 287. 10. U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Per- spectives, 287–290. For an alternative set of estimates, see U.S. Congress, Joint Committee on Taxation, Estimates of Federal Tax Expenditures for Fiscal Years 2007–2011 (JCS-3-07), September 24, 2007. 11. The maximum credit declines to $500 per child after 2010. The credit is phased out for higher- income taxpayers. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 313. 12. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 313. 13. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 311. 14. The Tax Code also permits most nonfuel mineral extractors to use percentage depletion rather than cost depletion. U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 306. 15. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 306. 16. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 307. 17. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 307. 18. See U.S. Office of Management and Budget, Budget of the U.S. Government: FY 2007, Analytical Perspectives, 307–8. 06_0part.qxp 11/20/07 10:26 AM Page 363

PART VI

IN THE WINK OF AN EYE: FROM DEFICITS TO SURPLUSES AND BACK TO DEFICITS

Those who cannot remember the past are condemned to repeat it.—George Santayana1

A Brief History of Deficits and Surpluses A budget deficit or surplus is calculated very simply by calculating the difference between out- lays and revenues for a given fiscal year. For example, in FY 2007, outlays and revenues were $2.731 trillion and $2.568 trillion, respectively, yielding a budget deficit of $163 billion.2 (Note that for purposes of calculating deficits, “outlays” are used rather than “budget authority” because outlays reflect actual cash disbursements. Budget authority, as explained in chapter 2-9, is the legal authority Congress appropriates to agencies to enter into financial obligations that eventually result in outlays.) In contrast to an “annual deficit,” the “Federal debt” is the accumulated debt of the Fed- eral government. Whenever the Federal government runs an annual budget deficit, the addi- tional borrowing to finance the deficit spending adds to the accumulated Federal debt. By contrast, whenever the Federal government runs a budget surplus, the accumulated Federal debt decreases because Treasury securities are redeemed using surplus revenues rather than issuing additional debt. Budget records from the United States’ first century are sketchy. Estimates are that from 1789 to 1849, the United States had a cumulative surplus of $70 million; and from 1850 to 1900, the Federal government had a cumulative deficit of nearly a billion dollars. Annual record keeping improved by the turn of the century and we know that in 1901 the Federal Treasury ran a budget surplus of $63 million, with total outlays of $525 million.3 As one might expect the first wave of significant budget deficits in the 1900s occurred during World War I. A budget surplus in 1916 gave way to an $853 million deficit in 1917 (not insignificant for a total budget of $1.9 billion). In 1918, the deficit exploded to more than $9 billion because total Federal spending rose to more than $12 billion. And by 1919, the deficit was more than $13 billion, with total Federal spending of more than $18 billion.

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With the end of the war, Federal spending quickly declined, and the Treasury saw an immediate return to budget surpluses until the Great Depression. In 1933, with the country in the grip of the Depression, unemployment had skyrocketed to nearly 25%, and the Federal deficit reached 4.5% of the Gross Domestic Product (GDP). However, by 1938, President Roosevelt’s New Deal legislation was showing results, with sig- nificant decreases in unemployment and a Federal Budget nearly in balance. Then the United States entered World War II. In 1939, Federal outlays were slightly more than $9 billion. Due to the war, outlays grew to $35 billion by 1942, $78 billion by 1943, and $92 billion by the end of the war. Federal deficits during the last two years of World War II grew to $47 billion about 22% of the nation’s GDP. Even more startling is the accumulated Federal Debt Held by the Public, which grew as a percentage of GDP from 52% before the war to 121% after the war. In other words, the accumulated Federal debt at the end of the war was significantly larger than the entire economy. But the post–World War II era saw a rapid decline in Federal deficits. With dramatic reductions in defense spending, Federal deficits dropped from $47 billion in 1945 to $15 bil- lion in 1946 and the budget was already in surplus by 1947. Moreover, with a rapidly expand- ing postwar economy, the accumulated Federal debt, as a percentage of GDP, saw a relatively steady decline from 121% at the end of the war to 94% in 1950, 56% in 1960, 38% in 1970, and 33% in 1980. Then the fiscal situation changed dramatically with the triple-digit deficits of the 1980s.

The Triple-Digit Deficits of the 1980s Deficits skyrocketed from $74 billion in 1980, to $128 billion by 1982, and $208 billion by 1983. Similarly, as a percentage of the GDP, deficits increased from 2.7% in 1980 to 4% by 1982 and 6% by 1983. The last time deficits had been that large as a percentage of the economy was World War II. Not even at the height of the Vietnam War were deficits, as a percent of GDP, close to those levels. The reasons for these skyrocketing deficits in the 1980s were several: (1) an economic recession; (2) a massive tax cut in 1981; (3) massive increases in defense spending; and (4) significant growth in entitlement programs, particularly Medicare and Medicaid. With economic recovery in the mid- to late 1980s, deficits began to moderate. They dropped from $221 billion in 1986 (5% of GDP) to $152 billion in 1989 (2.8% of GDP).

The Budget Agreements of the 1990s Lead to Surpluses However, by 1990, the deficit picture had again deteriorated. With the nation once again in recession, record outlays required to resolve the savings and loan crisis, and record interest payments required to finance accumulated debt from the 1980s, the deficit rose to $221 bil- lion, nearly 4% of GDP.5 This set the stage for the first of three historic deficit reduction laws that moved the Federal Treasury from deep deficits into surpluses by the end of the decade. Budget Summit Agreement of 1990. The first of these deficit reduction laws came to be known as the “Budget Summit Agreement of 1990.” The senior officials of the George H. W. 06_0part.qxp 11/20/07 10:26 AM Page 365

FROM DEFICITS TO SURPLUSES AND BACK TO DEFICITS 365

Bush Administration, feeling intense public pressure over soaring deficits, came together with Democratic congressional leaders for two weeks of intense, bipartisan closed door negotia- tions at Andrews Air Force Base and produced a historic bipartisan budget agreement: the Omnibus Budget Reconciliation Act of 1990. The Act included a record $500 billion in deficit reduction measures (spending cuts and tax increases over the 1991–1995 budget period) and also enacted the historic Budget Enforce- ment Act of 1990, which set forth the very successful discretionary spending caps and pay-as- you-go (PAYGO) requirements for tax and entitlement legislation (described in chapter 2-4). President Bush suffered a great deal of criticism for the 1990 Budget Summit Agreement because it included tax increases as well as spending cuts, but the economic facts are that this politically courageous bipartisan agreement laid the foundation for subsequent deficit reduc- tion laws in 1993 and 1997 that moved the Treasury from the huge deficits of the early 1990s into the surpluses and booming economy of the late 1990s. OBRA 1993. Unlike the 1990 Agreement, the deficit reduction legislation enacted in 1993 was not bipartisan. It was negotiated by President Clinton and congressional Democrats and passed Congress without any Republican votes in August of 1993. The deficit reduction pack- age included roughly equal amounts of tax increases and spending reductions and ended up reducing deficits by far more than the $500 billion over five years projected at the time. In its annual report of January 1994, the nonpartisan Congressional Budget Office noted that “the deficit picture is significantly brighter than it appeared one year ago when CBO projected that the deficit would soar above $350 billion by FY 1998. CBO now projects that the Federal Bud- get deficit will fall from $223 billion in the current year to below $170 billion in 1996....The dramatic improvement . . . is largely the result of . . . the Omnibus Budget Reconciliation Act of 1993 (OBRA-93).”6 Balanced Budget Act of 1997. After the enactment of OBRA-93, the political winds changed, and Washington once again entered an era of divided government—a Democratic President and a Republican Congress. The clash of ideologies led to a dramatic political standoff in 1995 that witnessed the most serious Federal government shutdown in history (as discussed in chapter 2-2). The negative political fallout from the shutdown, together with political pressure to reach a balanced budget, eventually brought both sides together in 1997 to enact the third milestone budget agreement of the 1990s. On July 31, 1997, Congress com- pleted action on twin pieces of legislation—the Taxpayer Relief and Balanced Budget Acts of 1997—which the President signed into law on August 5, 1997. Unlike the deficit reduc- tion laws of 1990 and 1993, the 1997 legislation cut taxes, rather than increasing taxes, but nevertheless produced net deficit reduction due to entitlement program cuts and extension of the fiscal restraints of the Budget Enforcement Act through 2002. This led CBO to report in January 1998 that “the Federal Budget deficit is likely to be essentially balanced for the next 10 years if current policies remain unchanged. CBO ...projects single-digit deficits for fiscal years 1998, 1999, and 2000, followed by a small surplus in 2001 and growing surpluses through 2008.”7 As it turns out, the economy did even better than anticipated and surging Federal rev- enues brought the Budget into surplus that same year—FY 1998—with a surplus of $69 bil- lion. The surpluses continued, with $126 billion in FY 1999, $236 billion in FY 2000, and $128 billion in FY 2001. 06_0part.qxp 11/20/07 10:26 AM Page 366

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Current Decade: Exploding Deficits Lead to Massive Debt In 2002, the deficit picture for the first decade of the new millennium shifted dramatically. The $128 billion surplus of 2001 was followed by deficits of $158 billion in 2002, $378 billion in 2003, $413 billion in 20048, $319 billion in 2005, $248 billion in FY 2006, and $163 billion in FY 2007.9 Excluding Social Security surpluses, the respective deficits were $317 billion in 2002, $538 billion in 2003, $568 billion in 2004, $494 billion in 2005, $435 billion in 2006, and $344 billion in 2007 (figure 6.1) (Excluding Social Security surpluses is a more accurate measure of the nation’s fiscal health because the temporary Social Security surpluses will dry up around 2017.)

eD laredeF 1.6 erugiF 1.6 laredeF eD ticif ro sulpruS noillib ni( 7002-8991 ni( )snoillib

)sesulprus ytiruceS laicoS gnidulcxE( laicoS ytiruceS )sesulprus

002 001 0 001- 002-

Billions 003- 004- 005- 006- 007- 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

The most troubling results of these annual deficits are the rapid increases in the accu- mulated Federal debt. In January 2001, CBO projected a 10-year budget surplus (2002–2011) of $5.6 trillion, which would have dramatically reduced Federal Debt. One year later, in January of 2002, CBO revised downward the previous year’s 10-year surplus projection of $5.6 trillion to $1.6 trillion—a precipitous decline of $4 trillion in pro- jected surpluses. Shortly thereafter, the projected surpluses disappeared and were replaced with projections of long-term deficits. As shown in figure 6.2, Gross Federal Debt (composed of “Debt Held by the Public” and debt held by government trust funds) has in fact grown from $5.8 trillion in 2001 to nearly $9 trillion at the end of FY 2007. Debt Held by the Public, that is, the cumulative total debt that the Federal Treasury owes to individuals, institutions, and other governments—has grown from $3.3 trillion in 2001 to more than $5 trillion in FY 2007. Using either measure of debt, our nation’s accumulated debt has grown by more than 50% in six years—a staggering increase. 06_0part.qxp 11/20/07 10:26 AM Page 367

FROM DEFICITS TO SURPLUSES AND BACK TO DEFICITS 367

tbeD laredeF ssorG 2.6 erugiF 2.6 ssorG laredeF tbeD )snoillirt ni( 7002-8991 ni( )snoillirt dna cilbuP eht yb dleH tbeD fo mus eht si tbeD laredeF ssorG( laredeF tbeD si eht mus fo tbeD dleH yb eht cilbuP dna dnuF tsurT tnemnrevoG rehto dna ytiruceS laicoS yb dleH tbeD dleH yb laicoS ytiruceS dna rehto tnemnrevoG tsurT )sdnuF 01 9 8 7 6 dleH yb eht tnemnrevoG 5 cilbuP eht yb dleH yb eht cilbuP

Trillions 4 3 2 1 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Causes of the Deficit/Debt Explosion This dramatic reversal in our nation’s fiscal outlook, from rapidly accumulating surpluses to rapidly accumulating debt, is due largely to tax cuts, the recession, and increases in defense spending. Quantifying with any precision how much of the massive fiscal shift is attributable to each factor is analytically difficult, to say the least. The task of providing nonpartisan analy- sis of the fiscal picture belongs to the Congressional Budget Office. In arriving at its estimates, the CBO considers the advice of an outside advisory council composed of economists span- ning the political spectrum. By examining the evolving CBO projections, one can piece together a rough snapshot of the factors leading to the debt explosion of the current decade.10 Tax cuts. As noted, in January 2001 CBO projected an FY 2002 surplus of $313 billion and a 10-year surplus (2002–2011) of $5.6 trillion. One year later, CBO revised its projections to reflect a $4 trillion decline in the projected surpluses (soon to be followed by the disap- pearance of all projected surpluses and the emergence of projected deficits). CBO attributed the largest single factor in this precipitous decline to the tax cuts enacted in 2001. When debt service costs are included, CBO estimated that nearly $1.7 trillion (more than 40%) of the $4 trillion decline in the nation’s fiscal health was due to revenue losses associated with the 2001 tax cuts.11 While the 2001 tax bill contained the largest cuts in recent years, there have actually been six significant tax cut bills enacted in this decade (as of 2006). Table 6.1 briefly describes the tax cuts and includes the 10-year revenue loss projections associated with each of the measures at the time the tax cuts were enacted.12 06_0part.qxp 11/20/07 10:26 AM Page 368

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TABLE 6.1 Recent Tax Cuts: Description and Revenue Scoring13 10-year Projected Tax Act Brief Description Revenue Losses 2001: Economic • Reduced marginal tax rates and created a new $1.349 trillion16 Growth and Tax 10% bracket for 2001 through 200414 Relief Reconciliation • Increased child tax credit from $500 to $1000 Act (EGTRRA, P.L. and extended refundability to smaller families 107-16) • “Marriage penalty relief” (standard deduction and 15% tax bracket for joint returns set at twice the level as for single returns) • Temporary reduction in the Alternative Minimum Tax (AMT) • Phased out the estate tax over 2002 to 2010, but reverts to prior law after 2010 (Note: EGTRRA’s provisions were phased in over time and expire after 2010 due to the Senate’s Byrd Rule—see chapter 3-2.)15

2002: Job • Accelerated depreciation for business $30 billion17 Creation and investment Worker Assistance • Temporary extension of the net operating Act (JCWAA, P.L. loss carryback period (refers to years in the past, 107-147) the income from which, a firm can deduct losses over prior years)

2003: Jobs and • Accelerated phase-in of the EGTTRA tax cuts $320 billion19 Growth Tax Relief (except for estate tax reduction) Reconciliation Act • Extended and expanded accelerated depreciation (JGTRRA, P.L. under JCWAA 108-27) • Reduced tax rates on dividend and capital gains income • Increased the Alternative Minimum Tax (AMT) exemption18

2004: Working • Extended many of the JGTRRA tax provisions $147 billion20 Family Tax Relief scheduled to expire at the end of 2004 (not the Act of 2004 capital gains or dividend reductions) (WFTRA, P.L. • One-year extension of the JGTRRA AMT 108-311) exemption • Extended four energy tax subsidies 06_0part.qxp 11/20/07 10:26 AM Page 369

FROM DEFICITS TO SURPLUSES AND BACK TO DEFICITS 369

10-year Projected Tax Act Brief Description Revenue Losses 2005: Energy Policy • Incentives for oil and gas production, $11.5 billion22 Act of 2005 refining, distribution (P.L. 109-58) • Incentives for coal production • Electricity restructuring provisions • Incentives for efficiency, renewables, and alternative fuels21

2006: Tax Increase • Extended the JGTRRA dividend and capital $69 billion24 Prevention and gains reductions for two years (through 2010) Reconciliation Act • Extended AMT relief for one year (2006) of 2005 (TIPRA, • Extended increased expensing for two years P.L. 109-222)23 (through 2009) Note: All of these tax cuts were deficit financed; that is, they were paid for by Treasury borrowing. However, the revenue loss estimates do not include the additional budgetary impact of higher debt service costs. There- fore, actual costs of the tax cuts are significantly higher.

In considering the role of these tax cuts in the debt explosion of the current decade, it is important to keep in mind that all of the tax cuts have been “deficit financed”—that is, paid for by Treasury borrowing. In that sense, the tax cuts—which may cost more than $2.5 tril- lion over 10 years when debt service costs are included—are, in the view of some economists, the single-largest factor in our nation’s currently rising debt. On the other hand, other economists assert that the tax cuts have had a stimulative effect on the economy, thereby shortening the length of the 2001–2002 recession. If that has been the case, the total cost of the tax cuts should be offset by the Federal revenue increases directly attributable to the shortening of the recession. Unfortunately, this type of econometric analysis is far from a perfect science. As CRS has pointed out:

[I])t is hard to be certain what effects the tax cuts have had on the economy because there is no way to compare actual events to the . . . case where the tax cuts were not enacted.... Most estimates predict that . . . tax cuts will increase economic growth in the short term and reduce it in the long run....The period encompassing the tax cuts featured a reces- sion of average duration but below-average depth, an initially sluggish recovery, a deep and unusually long decline in employment, a small decline in hours worked, a sharp and long lasting contraction in investment spending, a significant decline in national saving, and an unusually large trade deficit. Opponents [of the tax cuts] see this as evidence that the tax cuts were ineffective; proponents argue that the economy would have performed worse in their absence....One should also consider that some, perhaps most, of the recovery was due to monetary rather than fiscal stimulus.25 06_0part.qxp 11/20/07 10:26 AM Page 370

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There is no obvious answer to the question of whether the tax cuts are principally respon- sible for the current deficit picture. Nevertheless, whatever conclusion one reaches about these past decisions, it is vital that policymakers thoughtfully consider the fiscal costs of perma- nently extending the tax cuts. There has been extensive congressional debate about extending many of the tax cuts sum- marized in table 6.1, nearly all of which are due to expire by the end of 2010. A recent CBO report estimates that extending the 2001 and 2003 tax cuts and other expiring tax provisions (along with indexing the Alternative Minimum Tax exemption so that it doesn’t counteract the resulting tax relief 26) would cost more than $3 trillion over a 10-year period.27 Regardless of one’s conclusions about the principal causes of recent deficits, incurring an additional $3 tril- lion of deficit-financed tax cuts—at the same time health care costs are skyrocketing, the boomers are retiring, and the nation is at war—ought to raise some very sobering fiscal con- cerns. Recession. As noted, in January 2002, CBO attributed more than 40% of the $4 trillion decline in the nation’s previously projected surpluses to the 2001 tax cuts. The second-largest factor, according to CBO was the recession, with nearly one-quarter of the fiscal decline attrib- uted to the economic slump.28 The impact of a recession on the U.S. Treasury is threefold: (1) reduced revenues,29 (2) increased debt service costs, and (3) increases in entitlement spending (e.g., outlays from unemployment benefits and other low-income programs). Figure 6.3 dis- plays CBO’s relative apportionment of the causes of the 2001–2002 fiscal decline.

Defense Spending. Along with tax cuts and the recession, the rapid growth in defense spending has provided significant fuel to the rising debt of the current decade. As discussed

FIGURE 6.3 Causes of the $4 Trillion Decline in the Fiscal Outlook from FY2001 to FY2002

srotcaF rehtO srotcaF %81 noisseceR %32

esnefednoN yranoitercsiD %8

esnefeD yranoitercsiD %9 1002 xaT stuC %24

Source: Based on CBO’s Budget and Economic Outlook, January 2002, summary table 1. Note: Increased interest payments resulting from changes in the Federal debt are distributed proportionally. 06_0part.qxp 11/20/07 10:26 AM Page 371

FROM DEFICITS TO SURPLUSES AND BACK TO DEFICITS 371

in chapter 3-1, defense spending nearly doubled between fiscal years 2001 and 2007. A signif- icant portion of this rapid increase is attributable to the wars in Iraq and Afghanistan, which by 2007, had already cost more than $600 billion.30

Entitlements. Entitlement spending growth is sometimes blamed as a factor in the mas- sive shift from trillions of dollars in projected surpluses to trillions in new debt, but the facts suggest otherwise. As figure 6.3 indicates, CBO did not attribute any of the massive $4 trillion shift in the fiscal outlook to entitlement spending. Moreover, if one examines CBO’s January 2001 projections for major entitlement spending (when major budget surpluses had been projected) and compare them with actual entitlement spending over 2001–2007, the actual spending for Social Security and Medicaid are very close to the 2001 projections, as displayed in table 6.2. The one exception is Medicare, which began to grow beyond earlier projections in FY 2005, with the phasing in of the new Medicare Prescription Drug benefit (see chapter 3-6).

Nevertheless, it is critical to underscore the following point: Although growing entitle- ment spending was not a cause of the 2001–2002 decline in the fiscal outlook, the projected growth in entitlements—Medicare and Medicaid in particular—is the central factor in the perilous fiscal outlook currently facing our nation.

Top Economic Officials Agree the United States Is on a Dangerous Fiscal Path There is broad agreement among our nation’s top economic officials that the United States is currently on a perilous fiscal path leading to massive and unsustainable Federal Debt that threaten the stability of the U.S. economy.

TABLE 6.2 Entitlement Growth Not a Key Factor in 2001–2002 Shift from Surpluses to Deficits (billions of dollars)

Social Security Medicare Medicaid Jan. ‘01 Jan. ‘01 Jan. ‘01 CBO Actual CBO Actual CBO Actual Projections Spending Projections Spending Projections Spending FY 2002 452 452 252 253 141 148 FY 2003 474 471 270 274 153 161 FY 2004 498 492 290 297 166 176 FY 2005 523 519 317 333 180 182 FY 2006 550 549 333 372 194 181 FY 2007 578 586 363 441 211 191 Totals 3,075 3,069 1,825 1,970 1,045 1,039 06_0part.qxp 11/20/07 10:26 AM Page 372

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UNITED STATES ON A DANGEROUS FISCAL PATH • In January 2007, the CBO’s Budget and Economic Outlook warned Members of Con- gress that “the aging of the population and continuing increases in health care costs are expected to put considerable pressure on the budget in coming decades. Economic growth alone is unlikely to be sufficient to alleviate that pressure as Medicare, Med- icaid, and (to a lesser extent) Social Security require ever greater resources under cur- rent law.”31

• On January 11, 2007, Comptroller General of the United States David Walker told the Senate Budget Committee that “Our current financial condition is worse than advertised. Our long-term fiscal outlook is both imprudent and unsustainable.... Long-term fiscal simulations by GAO, CBO and others all show that we face large and growing structural deficits driven primarily by rising health care costs and known demographic trends.”32

• On January 18, 2007, in an uncharacteristically candid assessment for a Fed Chair- man, Ben Bernanke, Chairman of the Federal Reserve Board, delivered a similar warning to the Senate Budget Committee, observing that because of rising entitle- ment costs, a “vicious cycle may develop in which large deficits lead to rapid growth in debt and interest payments, which in turn adds to subsequent deficits....Ulti- mately, this expansion of debt would spark a fiscal crisis. . . . [T]he effects on the U.S. economy would be severe.”33

Myth: The decline in (unified) budget deficits from $413 billion in 2004 to $319 billion in 2005, $248 billion in FY 2006, and $163 billion in FY 2007 is an indicator of an improving fiscal outlook.

Fact: Unfortunately, this recent downward “trend” in annual deficits does not signal a positive fiscal outlook for our nation. First, these deficit numbers—used by the Admin- istration and Congress—are misleading because they include Social Security surpluses that will soon disappear. (See chapter 2-9 on the Unified Budget and Social Security.) More important, this brief “downward trend” in unified budget deficits will be short- lived. Several factors—as outlined in table 6.3—will place increasingly powerful upward pressures on the Federal debt in the next decade and beyond. 06_0part.qxp 11/20/07 10:26 AM Page 373

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TABLE 6.3 Major Factors Placing LongTerm U.S. Fiscal Stability At Risk Factors Explanation Continuing growth Of the three major entitlement programs, Medicare and Medicaid, in Health Care costs by far, pose the greatest long-term fiscal challenge. According to CBO, health care costs are likely to continue to grow faster than the economy. CBO notes that between 1960 and 2003, the average annual rate of growth of national health expenditures exceeded the rate of growth of GDP—known as excess cost growth—by 2.6%. At that rate, Federal spending for Medicare and Medicaid could rise from 4.5% of GDP today to more than 20% in 2050.36

Retirement of the baby Retirement of the baby boom generation will cause significant boom generation, increases in Social Security, Medicare, and Medicaid spending— beginning in 200834 Social Security and Medicare because the elderly are the principal beneficiaries and Medicaid because a significant portion of Medicaid spending covers nursing home expenditures for low-income seniors. The magnitude of these pressures are reflected in the startling statistic that over the next half century, the number of people age 65 or older will double and the number of adults under 65 will increase by just 12%.35

Proposed Extension The Administration and many in Congress have been pushing of the 2001 and 2003 for permanent extension of the 2001 and 2003 tax cuts, due to tax cuts expire in 2010. The estimated costs of such extensions (and an accompanying offsetting fix to the Alternative Minimum Tax) are $3 trillion over 10 years.

Taken together, and unchecked, these factors will seriously worsen an already dangerous accumulation of Federal debt and create a long-term fiscal outlook described by CBO as “unsustainable.”37 Similarly, the nonpartisan GAO concluded recently that “under any rea- sonable set of expectations about future spending and revenues, the risks posed to the Nation’s future financial condition are too high to be acceptable.”38

Do Deficits Matter?

Debts, public and private, are neither good nor bad, in and of themselves. Borrowing can lead to overextension and collapse, but it can also lead to expansion and strength. There is no single, simple slogan in this field that we can trust.—President John F. Kennedy, 1962 39

To be sure, there are times when deficits are necessary and appropriate. During World War II, our nation ran annual deficits as high as 30% of our GDP, and Gross Federal Debt exceeded 06_0part.qxp 11/20/07 10:26 AM Page 374

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the size of the entire economy by the end of the war. However, as soon as the war ended, the Federal government began running budget surpluses in order to bring down the accumu- lated debt. Unfortunately, no efforts are currently under way to adopt policies that will gen- erate surpluses and turn around the current maelstrom of growing debt and interest payments. In fact, as explained earlier, absent quick action by Congress and the Administra- tion to curb the growth of Medicare, Medicaid, and Social Security, the current outlook is for rapidly increasing deficits, debt, and interest payments in the next and subsequent decades. Ron Suskind, in his fascinating book about former Bush Treasury Secretary Paul O’Neill, reports on a White House meeting where O’Neill was “arguing sharply that the government ‘is moving toward a fiscal crisis.’”As O’Neill recalled, Vice President Cheney responded bluntly that “Reagan proved deficits don’t matter.” 40 People who take the Cheney position point to the data in table 6.4. The economy did in fact have a healthy economic expansion during fiscal years 1983 through 1989 (the first shaded area). However, at the same time, the Federal Debt Held by the Public nearly dou- bled—and net interest payments grew from $90 billion to $169 billion. Therein lies the key point. The high interest payments that accompany high Federal debt should be avoided for three reasons:

• First, our nation gets nothing in return for these enormous annual interest payments— homeland security isn’t improved, medical research doesn’t advance, our children don’t have greater access to early learning or higher education, nor can the funds be used for urgently needed middle-class tax relief. • Second, every family understands: the dangerous cycle of high debt leading to higher inter- est payments, leading to even higher debt. Our nation fell into this vicious circle in the 1980s, and it continued into the 1990s, with Debt Held by the Public growing to $3 trillion by 1992. Fortunately, as discussed earlier, our nation was able to climb out of the deficit ditch due to the deficit reduction agreements of 1990, 1993, and 1997—the 1990 and 1997 agreements being the product of strong bipartisan efforts based on the prevailing view that deficits do matter. From 1998 through 2001 these laudable deficit reduction efforts yielded budget sur- pluses—and debt started to decline (the second shaded area in table 6.4). Unfortunately, the deficits of 2002 through 2008 have led our nation back into the cycle of growing debt, with Debt Held by the Public exceeding $5 trillion, Gross Federal Debt exceeding $9 trillion, and net interest payments exceeding $250 billion—a shameful waste of taxpayer resources. • Third, as a matter of values, no parent wants his or her children, grandchildren, and sub- sequent generations to inherit hundreds of billions of dollars of annual interest payments on debt accumulated by the shortsightedness of our own generation.

In addition to the dangers of high interest payments, there are other compelling reasons to be deeply concerned about ongoing deficits and growing accumulated debt: Exporting U.S. dollars: Our nation—already the world’s largest debtor nation—is increas- ingly indebted to Japan, China, and other foreign nations, sending hundreds of billions of dollars in interest payments abroad, which, in turn, reduces our own economic growth. 06_0part.qxp 11/20/07 10:26 AM Page 375

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TABLE 6.4 Deficits, Debt, Interest Payments, and Economic Growth Economic Annual Debt Held Net Interest Growth Deficit by the Payments % Change in FY (billions of $) Public (billions of $) Real GDP 1981 - 79 789 69 2.5 1982 -128 925 85 -1.9 1983 -208 1,137 90 4.5 1984 -185 1,307 111 7.2 1985 -212 1,507 130 4.1 1986 -221 1,741 136 3.5 1987 -150 1,890 139 3.4 1988 -155 2,052 152 4.1 1989 -153 2,191 169 3.5 1990 -221 2,412 184 1.9 1991 -269 2,689 194 -0.2 1992 -290 3,000 199 3.3 1993 -255 3,248 199 2.7 1994 -203 3,433 203 4.0 1995 -164 3,604 232 2.5 1996 -107 3,734 241 3.7 1997 -22 3,772 244 4.5 1998 69 3,721 241 4.2 1999 126 3,632 230 4.5 2000 236 3,410 223 3.7 2001 128 3,320 206 -0.8 2002 -158 3,540 171 1.6 2003 -378 3,913 153 2.7 2004 -413 4,296 160 4.2 2005 -318 4,592 184 3.5 2006 -248 4,829 220 3.3 2007 -163 4,993 235 2.1 2008 -155 5,163 253 2.9 2009 -215 5,392 267 3.0 2010 -255 5,661 281 3.0 Sources: CBO 2007 August Update and Economic Report of the President (February 2007). 06_0part.qxp 11/20/07 10:26 AM Page 376

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Crowding out of private investment capital: Continuing rapid increases in U.S. Treasury borrowing can cause a domestic and global shortage of investment capital, “crowding out” funds available at reasonable interest rates for private investors. Particularly with the recent credit crunch in the housing market, Federal fiscal policies that soak up available global credit are increasingly problematic.

Recommended Sources for More Information Deficits, Debt, and the Fiscal Outlook

• CBO: “The Budget and Economic Outlook,” released each January and updated each August, www.cbo.gov. • FED Chairman Bernanke: “The Coming Demographic Transition: Will We Treat Future Genera- tions Fairly?” October 4, 2006, www.federalreserve.gov/newsevents/speech/bernanke20061004a.htm. • GAO: “The Nation’s Long-Term Fiscal Outlook, August 2007 Update: Despite Recent Improvement in the Annual Deficit, Federal Fiscal Policy Remains Unsustainable,”GAO-07-1261R, September 28, 2007. • Brookings: Restoring Fiscal Sanity, (2005, 2006, and 2007), Alice Rivlin, Isabel Sawhill, Joseph Antos. • CBPP: “The Long-Term Fiscal Outlook Is Bleak,”January 29, 2007, www.cbpp.org/1-29-07bud.pdf. • Committee for Economic Development (CED): “The Emerging Budget Crisis: Urgent Fiscal Choices,”May 2005, www.ced.org/docs/report/report_budget2005.pdf. • Concord Coalition: “Improving the Long-Term Fiscal Outlook: Does It Take a Commission?” May 15, 2006, National Press Club, http://207.57.22.22/events/060515-commission/transcript.htm. • Heritage Foundation: www.heritage.org/research/Budget/FWUT.cfm. • Urban Institute President Bob Reischauer: Testimony before the Senate Budget Committee, Janu- ary 30, 2007, www.urban.org/publications/901038.html.

Notes

1. Notable Quotations from George Santayana: Life of Reason, Reason in Common Sense (New York: Scribner’s, 1905), 284. 2. Henry Paulson, Secretary of the Treasury and Jim Nussle, OMB Director, “Joint Statement on Budget Results for Fiscal Year 2007,”October 11, 2007, table 4. 3. These numbers and all subsequent numbers in this section are from Office of Management and Budget, “FY 2007 Historical Tables,”U.S. Government Printing Office 2006. 4. Lewis D. Eigen and Jonathan P. Siegel, The Macmillan Dictionary of Political Quotations (New York: Macmillan, 1993), 23. 5. See Congressional Budget Office, “The Economic and Budget Outlook: Fiscal Years 1992–1996” (Washington D.C.: Government Printing Office, January 1991). 6. Congressional Budget Office, “The Economic and Budget Outlook: Fiscal Years 1995–1999” (Washington D.C.: Government Printing Office, January 1994). 7. Congressional Budget Office, “The Economic and Budget Outlook: Fiscal Years 1998–2008” (Washington D.C.: Government Printing Office, January 1998), xv. 8. This was a record deficit in dollar terms, but at 3.6% of GDP, it reflected a smaller share of the economy than the deficits of the mid-1980s and early 1990s when deficits frequently exceeded 4% of GDP. CBO, “The Budget and Economic Outlook: An Update” (Washington D.C.: Government Print- ing Office, September 2004), ix. 06_0part.qxp 11/20/07 10:26 AM Page 377

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9. Office of Management and Budget, Budget of the United States, FY 2008, historical tables (Wash- ington D.C.: Government Printing Office, February 2007), 22; and Paulson and Nussle, “Joint State- ment on Budget Results for Fiscal Year 2007,”table 4. 10. All of the references in the following chronology are drawn from the annual (January) Eco- nomic & Budget Outlook publications of CBO or the relevant summer update published in August or September. 11. Calculations based on CBO, “Budget and Economic Outlook” (Washington D.C.: Government Printing Office, January 2002), summary table 1, xiv. 12. Projected revenue losses were calculated by Congress’ Joint Committee on Taxation (a nonpar- tisan staff of tax professionals that provides revenue estimates to the Congressional Budget Office). 13. These are revenues losses projected at the time of enactment by Congress’ Joint Committee on Taxation. Estimates do not include costs of additional debt service. CRS notes that “actual tax receipts fell significantly more than predicted....This suggests that the tax cuts may have resulted in more rev- enue loss than predicted.”CRS, “What Effects Have the Recent Tax Cuts Had on the Economy?” RL32502 (Washington D.C.: Congressional Research Service, April 14, 2006), footnote 2. 14. Prior to the Act, the tax code’s rates were 15%, 28%, 31%, 36% ,and 39.6%; the Act reduced these to 10%, 15%, 25%, 31%, and 35%. In addition, the Act eliminated the overall limit on itemized deduc- tions and phased out the tax code’s restriction on personal exemptions. CRS, “Major Tax Issues in the 109th Congress,”December 8, 2005. 15. For further information, see CRS, “2001 Tax Cut: Description, Analysis, and Background,” December 9, 2002. 16. Marc Labonte, “What Effects Have the Recent Tax Cuts Had on the Economy?” RL 32502 (Wash- ington D.C.: Congressional Research Service, April 14, 2006), 2. The figures for the 2002 and 2003 tax cuts are also derived from the same source. 17. CRS notes that “since accelerated depreciation is a revenue loser in the short term and a revenue raiser in the medium term, the 10-year cost of JCWAA is smaller than the short-term cost.”CRS, “What Effects Have the Recent Tax Cuts Had on the Economy?” July 30, 2004, p. 2. 18. For further information see CRS, “Tax Cut Bills in 2003: A Comparison,”July 31, 2003. 19. CRS, “What Effects Have the Recent Tax Cuts Had on the Economy?” 2. 20. CRS, “Major Tax Issues in the 109th Congress,”20. 21. For more details, see CRS, “Energy Tax Policy,”May 25, 2006. 22. This is a revenue loss projection for 11, rather than 10, years. CRS, “Energy Tax Policy.” 23. TIPRA was enacted in response to Reconciliation instructions adopted in 2005, but the confer- ence was not completed until May 2006. 24. U.S. Congress, Joint Committee on Taxation,“Estimated Revenue Effects of the Conference Agree- ment for the Tax Increase Prevention and Reconciliation Act of 2005,”JCX-18-06, May 9, 2006, 3. 25. CRS, “What Effects Have the Recent Tax Cuts Had on the Economy?” summary. 26. According to CRS, “if the reductions in the individual income tax are extended beyond 2010, then the number of taxpayers subject to the AMT will increase from about 1.8 million in 2001 to 23 million in 2007, and then to over 50 million in 2017.”Gregg Esenwein, “Extending the 2001, 2003, and 2004 Tax Cuts,”RS21992 (Washington D.C.: Congressional Research Service, January 26, 2007), 3. 27. CBO, “Budget and Economic Outlook: Fiscal Year 2008 to 2017” (Washington D.C.: January 2007), 16. 28. CBO, “Budget and Economic Outlook” (Washington D.C.: , January 2002), summary table 1, pg. xiv. 29. According to CBO, the decrease in revenues from 2001 to 2002—nearly 7%—was the largest annual drop in percentage terms since 1946. CBO, “The Budget and Economic Outlook,”January 2002, xvii. 06_0part.qxp 11/20/07 10:26 AM Page 378

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30. CBO, “The Budget and Economic Outlook: An Update” (Washington D.C.: , August 2007), 11. 31. CBO, “The Budget and Economic Outlook,”January 2007, xi. 32. Testimony delivered to the Senate Budget Committee on January 11, 2007, available at http://bud- get.senate.gov/democratic/testimony/2007/Walkers%20Long-term%20Testimony.pdf, 1, 5. 33. Testimony delivered to the Senate Budget Committee on January 18, 2007, available at http://bud- get.senate.gov/democratic/testimony/2007/Bernanke_LongTerm011807.pdf, 4–5. 34. The “baby-boom generation” generally refers to the large number of people born between 1946 and 1964. 35. CBO, “The Budget and Economic Outlook,”January 2006, 22–23 36. CBO, “The Budget and Economic Outlook,”January 2007, 10–11. 37. CBO, “The Budget and Economic Outlook,”January 2005, xiii–xiv. 38. U.S. GAO, “The Nation’s Long-Term Fiscal Outlook: September 2006 Update,”1. 39. Alex Ayres, ed., The Wit and Wisdom of John F. Kennedy (New York: Penguin Books, 1996), 44. 40. Ron Suskind, The Price of Loyalty: George W. Bush, the White House, and the Education of Paul O’Neill (New York: Simon & Schuster, 2004), 291. 07_conclusion.qxp 11/20/07 10:24 AM Page 379

PART VII

NONPARTISAN PRINCIPLES TO SECURE OUR NATION’S FUTURE

Despite some improvement in the annual deficit estimate for this fiscal year, the long-term fiscal outlook . . . is clearly unsustainable—ever larger deficits lead to a Federal debt burden that ultimately spirals out of control.—GAO, August 2007

America’s economic future is at risk. As discussed in Part VI, there is broad agreement among our nation’s top economic officials, across the political spectrum, that our current fiscal path is unsustainable. At the same time, we should gain confidence from the knowledge that, throughout our history, America has faced and overcome numerous challenges requiring equal or greater resolve. The key to success in securing our nation’s economic future is addressing key fiscal pol- icy issues now and in a spirit of bipartisan cooperation. There are tough fiscal issues to be decided, essential changes to be made. The following principles are offered as a framework for bipartisan progress.

1. Leaders of both political parties should endorse the conclusion, reached independently by the leaders of the Federal Reserve Bank, the Government Accountability Office, and the Congressional Budget Office, that the United States is on an unsustainable fiscal course. Too much public and media attention has been focused on temporary reductions in annual deficits and projected “balanced budgets” by 2012—which achieve “balance” only by using Social Security surpluses to mask large structural deficits.

2. Curtail the rapid growth of Medicare and Medicaid by reducing the overall growth in health care costs. The rapid growth of Medicare and Medicaid expenditures are the prin- cipal contributors to the projected explosion of Federal debt. The main cause of Medicare and Medicaid growth is general health care inflation; health care costs are growing con- siderably faster than the economy. Progress lies in reforming the nation’s overall health care

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system in a manner that slows the growth in health care costs and improves public health. The following objectives provide a starting point for bipartisan action:

• Reduce the number of emergency room visits, the most expensive type of health care, by ensuring all Americans access to primary care physicians. • Lower the rate of growth in health insurance premiums by enabling all Americans to participate in group health insurance, spreading costs across larger pools of beneficiaries. • Foster competition in the health insurance industry by following the example of the Federal Employee Health Benefits Program, which offers participants a broad range of health insurance choices. • Improve the quality of care by promoting competition among health care providers on medical outcomes. • Reduce medical error rates by facilitating the transition to electronic medical records. • Increase and better target NIH research funds in order to translate scientific advances into new treatments. • Establish protocols that reduce the high rate of hospital acquired infections in the United States.

Meeting these objectives requires that politicians stop fomenting fears of “socialized medicine.” No serious participants in the health care debate are proposing a Federal takeover of medicine; no one is suggesting that doctors become Federal employees. The public debate must remain focused on how to guarantee that all Americans purchase affordable health insurance enabling them to choose their own doctor—the same opportu- nity available to every Medicare participant, every Member of Congress, and every Federal employee.

3. Secure the long-term solvency of Social Security. While less urgent than Medicare and Medicaid reform—and less complex—Social Security reforms should be adopted before the end of this decade, when the boomers start to retire. Social Security is a pay-as-you-go program with current workers paying for the benefits of current retirees. Annual benefits are projected to exceed annual payroll tax revenues as early as 2017; this will trigger massive borrowing by the Treasury unless adjustments are made to the program (see chapter 3-4).

A balanced package of reforms could include modest adjustments to payroll taxes, the rate of growth in benefit payments, and/or the retirement age. The sooner the adjustments are put in place, the smaller they will need to be. This opportunity could also be used to make payroll taxes, which exceed income taxes for most Americans, less regressive. Individual accounts are a good idea, provided they are a supplement—not a substitute—for the cur- rent program.

4. Enhance national security by merging defense, intelligence, and homeland security spending into a single, unified national security budget that allocates resources based on today’s terrorist threats—not yesterday’s Cold War scenarios. Maintaining the cur- rent artificial separation between the defense and homeland security budgets interferes 07_conclusion.qxp 11/20/07 10:24 AM Page 381

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with a sensible, risk-based allocation of national security resources. The massive defense budget remains fixed in Cold War thinking, while the relatively meager homeland secu- rity budget inadequately addresses today’s terrorist threats. A unified national security budget should focus on:

• Securing “loose nukes” in the Former Soviet Union and keeping enriched uranium and other WMD materials out of the hands of Al Qaeda and other terrorists; • Speeding up development and deployment of technology—with the urgency of the Manhattan Project—to scan all incoming cargo for nuclear and other WMD materials; • Coordinating and focusing defense, homeland security, and intelligence assets on track- ing down and disabling WMDs and terrorist cells throughout the world; and • Stepping up comprehensive emergency planning for all high-risk urban areas in the United States, including prepositioning medical countermeasures.

At the same time, the United States can reduce anti-Western terrorist recruitment by step- ping up foreign aid (which lags behind that of most other developed nations). Robust U.S. relief efforts in response to natural disasters, famine, and pandemics make lasting and profound impressions on people in need throughout the world.

5. Reenact the Budget Enforcement Act, negotiated in the bipartisan Budget Summit Agreement of 1990. The triple-digit deficits of the early 1990s turned into the budget surpluses of the late 1990s, in no small measure, due to the budgetary discipline imposed by the Budget Enforcement Act. The fundamental pay-as-you-go principle that new tax cuts and new entitlement spending should be paid for is sound and sensible. If the bipar- tisan budget discipline of the 1990s had been in place during the current decade, our nation would not be facing a public debt 50% higher than seven years ago. (See Part II.)

6. Tax expenditures, nearing $1 trillion per year, should receive the same level of results- oriented scrutiny as spending programs. Similar to spending programs, if tax expendi- tures are achieving their intended public purpose, they should continue. If not, they should be scrapped. Closing an ineffective tax break is a public savings, not a tax increase. Moreover, closer scrutiny of tax breaks will generate the budgetary offsets needed for a renewed commitment to pay-as-you-go (PAYGO) principles. (See Part V.)

7. Finally, make room in the budget for “public investments” that cost money in the short run, but save money over the long run. One of the serious inadequacies of the current budget process is the fixation on annual budgeting, to the detriment of long-term invest- ments in our people and infrastructure. For example:

• More infrastructure spending in the short run—such as stronger levees in New Orleans, retrofitting buildings in California to survive earthquakes, and accelerating the replacement of dangerous bridges—can save hundreds of billions of dollars in the long run. • Making college affordable today for all young Americans who are motivated to attend will generate substantial innovation and economic growth for tomorrow. 07_conclusion.qxp 11/20/07 10:24 AM Page 382

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• More robust tax incentives for “green technologies” will generate new and highly pro- ductive industries, as well as reduce the ruinous consequences of global warming. • More funding for community-based mental health can lead to decreases in expensive inpatient care, homelessness, and incarcerations, and generate tax revenues from healthy, productive citizens. • Fully funding the Individuals with Disabilities Education Act will enable all Americans, no matter what challenges they face, to maximize their full potential and add their unique creativity and drive to our economy.

All of these principles can be a common starting point for policymakers, across the polit- ical spectrum, to undertake the serious work of aligning our Federal Budget with Amer- ica’s most urgent national and international priorities. 08_appendix.qxp 11/20/07 10:27 AM Page 383

APPENDIX A

Budget Process Timetable

DATE ACTION Calendar Year Prior to Year in Which Fiscal Year Begins Spring Office of Management and Budget (OMB) issues policy and planning guidance to departments and agencies for the budget beginning October 1 of the following year. Spring and summer Departments and agencies begin developing of budget requests. July OMB issues annual update to “Circular A-11,”providing detailed instructions for departments and agencies on submission of budget data and material for budget requests. Fall Departments and agencies submit initial budget requests to OMB. October–November OMB conducts “Fall Review” analyzing budget requests; OMB Director makes policy decisions. Late November OMB Director briefs the President on the draft budget and receives the President’s guidance on key policy issues. OMB informs departments and agencies of decisions, commonly referred to as “OMB Passback.” December Departments and agencies may appeal to the OMB Director, and ultimately the President, to reverse or modify passback decisions. Departments and agencies submit computer data and materials to OMB for preparation of budget documents.

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DATE ACTION Calendar Year in Which the Fiscal Year Begins Late January (but no later CBO releases The Budget and Economic Outlook. than February 15) 1st Monday in February President’s Budget, requesting specific funding levels for all government programs and new initiatives, is submitted to Congress. Not later than 6 weeks House and Senate committees submit “views and estimates” to after President submits their respective Budget Committees. Budget March House and Senate Budget Committees mark-up their respective budget plans, known as “Budget Resolutions,”and report them to the House and Senate. April 15 Congress completes action on the Budget Resolution (which does not require presidential signature). Appropriations Committees begin work on the 12 regular appropriations bills (based on the total amount of discretionary spending allowed by the Budget Resolution). If optional Reconciliation instructions are contained in the Budget Resolution, authorizing committees begin work on Reconciliation legislation to change entitlements and/or tax laws; the deadline for committees to report such legislation is included in the Budget Resolution instructions. May 15 Annual appropriations bills may be considered in the House (in the absence of a Budget Resolution). June 10 House Appropriations Committee reports last of the 12 regular appropriations bills. June 30 House completes action on annual appropriations bills. July 15 President submits “Mid-Session Review” updating the February Budget submission. July or August CBO releases Budget and Economic Outlook: An Update. October 1 New Fiscal Year begins: if all 12 annual appropriations bills are not yet enacted, Congress passes a continuing resolution (CR) to keep unfunded government departments functioning; multiple CRs are often required to keep departments operating as funding negotiations continue. Beginning of fiscal year OMB “apportions” appropriated budget authority to agencies by time period, program, project, or activity. 08_appendix.qxp 11/20/07 10:27 AM Page 385

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DATE ACTION During fiscal year Departments and agencies obligate available budget authority to operate programs, projects, and activities and, if necessary, ask OMB to request supplemental appropriations from Congress. The President may “defer” availability of budget authority to later in the fiscal year, or propose to Congress a “rescission” of specific budget. The Congress enforces the Budget Resolution through parliamentary points of order that may be raised against legislation that would breach spending ceilings or revenue floors, or violate other congressional rules such as the PAYGO requirement.

Source: Congressional Budget Act of 1974, as amended, 2 USC 631 et. seq. and OMB Circular A-11. 08_appendix.qxp 11/20/07 10:27 AM Page 386

APPENDIX B

Budget Points of Order in the Senate and House

point of order is a procedural objection that a Representative or Senator may raise against A a bill, resolution, amendment, or conference report on the House or Senate Floor, respec- tively. In general, if the Presiding Office, advised by the Parliamentarian, sustains the point of order (i.e., finds it to be a valid objection), the offending bill, resolution, amendment, or con- ference report “falls” (i.e., it is removed from consideration by the House or Senate).1 In the following table, “leg.”= bills, resolutions, motions, amendments, and conference reports; “BR” = Budget Resolution; “BA”= Budget Authority; “OT” = outlays. An asterisk (*) in the Senate Waiver Requirement column means that the 60-vote superma- jority waiver requirement in the Senate is due to expire in 2017, as provided for in the FY 2008 Budget Resolution. Section numbers refer to sections of the Congressional Budget and Impoundment Control Act of 1974, as amended, unless otherwise noted. For updates to this chart, see www.washingtonbudgetreport.com.

Senate Budget Act Applies to: Waiver Section Description Senate House Requirement2 Points of Order against Budget-Busting Spending Legislation 302(c) Prohibits consideration of appropriations X X 60 votes* bills until the 302(b) suballocations are made 302(f) Exceeding Committee Allocations: Prohibits X3 X4 60 votes* consideration of leg. that would cause a committee to exceed either its 302(a) committee allocation (or a 302(b) suballocation in the case of the

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Appropriations Committee) in either the budget year or the total of (5 years) covered by the BR Important note: This point of order against breaching committee allocations applies to BA and Outlay allocations in the Senate, but just BA allocations in the House. 303(a) Prohibits consideration of leg. that would X X5 60 votes* make new spending effective for a fiscal year before a BR for that fiscal year has been adopted 303(c) Prohibits consideration in the Senate of X 60 votes* any appropriations measure until a BR has been agreed to and a 302(a) allocation has been made to the Appropriations Committee 311(a) Exceeding Spending Aggregates: Prohibits X X7 60 votes* consideration of leg. that would cause the BR’s aggregate spending levels for BA or OT to be exceeded for the first year covered by the BR (except for “emergency requirements”)6 Sec. 206 of Limits on Advance Appropriations: X8 X 60 votes FY’08 BR Prohibits the consideration of advance appropriations, except for the FY 2009 and 2010 appropriations specified in the FY 2008 BR conference report Sec. 204 of Limit On Emergency Designations: X 60 votes FY’08 BR Spending provisions designated as “emergencies”9 are exempted from the sec. 302 and 311 points of order described above. However, Senators can make a point of order to strike emergency designations from spending legislation unless supporters of the emergency designation can muster 60 votes to waive the point of order.10

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Senate Budget Act Applies to: Waiver Section Description Senate House Requirementii

Sec. 207 of Discretionary Caps: Prohibits the X 60 votes FY’08 BR consideration of leg. that would exceed any of the discretionary limits for FY 2007 and FY 2008 set forth in the BR. However, the limits can be adjusted upward for certain program integrity or tax enforcement expenditures. Sec. 201 of Senate PAYGO Point of Order: Prohibits X 60 votes* FY’08 BR consideration of direct spending (entitlement) legislation that would increase or cause a non–Social Security deficit in either of two budget periods: (1) the period of the current fiscal year, the budget year, and the ensuing 4 fiscal years; or (2) the period of the current fiscal year, the budget year, and the ensuing 9 fiscal years Sec. 405 of House PAYGO Point of Order: Prohibits X N/A H.Res. 6, consideration of direct spending 110th (entitlement) legislation that would Congress increase the deficit or reduce the surplus (2007) for either of the same two budget periods noted above in the Senate’s PAYGO rule. Sec. 203 of Legislation Increasing Long-Term Deficits: X 60 votes* FY’08 BR Prohibits consideration of leg. that would cause a net increase in deficits in excess of $5 billion in any of the four 10-year periods beginning in 2018 and ending in 2057. Points of Order against Budget-Busting Revenue Legislation 303(a) Prohibits consideration of legislation that X X 60 votes* makes changes in revenues for a fiscal year before a budget resolution for that fiscal year has been adopted. 08_appendix.qxp 11/20/07 10:27 AM Page 389

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311(a) Prohibits consideration of leg. that X X 60 votes* would cause the BR’s revenue floors for the budget year, or the total for all years covered by the BR, to be breached.11 Sec. 201 of Senate PAYGO Point Of Order: X 60 votes* FY’08 BR Prohibits consideration of tax cuts that would increase or cause a non–Social Security deficit in either of two budget periods: (1) the period of the current fiscal year, the budget year, and the ensuing 4 fiscal years; or (2) the period of the current fiscal year, the budget year, and the ensuing 9 fiscal years Sec. 405 of House PAYGO Point Of Order: Prohibits X N/A H.Res. 6, consideration of tax cuts that would 110th increase the deficit or reduce the surplus Congress for either of the same two budget periods noted above in the Senate’s PAYGO rule Restrictions on Earmarks H.Res. 6 House: Requires disclosure of earmark X N/A (110th sponsors, as well as justifications for Congress, earmarks, and written certification that 1/4/07) earmarks will not benefit their House sponsor Section 521 Senate: An earmark is defined as “a X 60 votes of S. 1 congressionally directed spending item, (P.L. 110-81, limited tax benefit, and limited tariff 9/14/07) benefit.”Rule 44 prohibits consideration amended of leg. unless the committee chair or Senate majority leader certifies that all earmarks Rule 44 in legislative or report language have been identified by sponsor and are publicly available on the Internet for 48 hours. Senators must provide to the committee the name and location of the earmark beneficiary, and they must certify no financial interest. Prohibits “air-dropping,” i.e., inserting new earmarks into conference reports.

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Senate Budget Act Applies to: Waiver Section Description Senate House Requirementii Limitations on Entitlement and other “Backdoor Spending” 401(a) Subject to certain exceptions, prohibits X X Majority consideration of leg. providing new authority to enter into contracts or to borrow funds or to lend funds unless limited to amounts provided in appropriations acts. 401(b)(1) Prohibits consideration of entitlement X X Majority leg. that is to becomes effective during the current fiscal year. Sec. 209 No Changes in Mandatory Programs X 60 votes* of (ChIMPS). Would allow Senators to make FY’08 BR a point of order against provisions in appropriations bills that constitute ChIMPs. Provisions meeting the criteria would be stricken from the bill. Federal Credit Reform 504(b) Requires that new direct loan obligations X X Majority and new loan guarantees may be incurred only to the extent that new budget authority to cover their costs is provided in advance in an appropriations act. Does not apply to entitlements such as student loans or veterans’ home loans, or agriculture loans under the CCC. Protections for Social Security 301(i) Prohibits consideration of a BR that would X 60 votes* decrease the Social Security surplus in any of the years covered by the Resolution. 310(g) Prohibits consideration of Reconciliation X X 60 votes* bills, amendments, or conference reports that contain “recommendations with respect to OASDI.12

Senate 08_appendix.qxp 11/20/07 10:27 AM Page 391

APPENDIX B 391

Budget Act Applies to: Waiver Section Description Senate House Requirementii

311(a)(3) Prohibits consideration of leg. that X 60 votes* would cause a decrease in Social Security surpluses or an increase in Social Security deficits (except for tax changes having only an “incidental” Social Security effect). 13302(a) of Prohibits consideration of legislation in the X N/A 1990 BEA House that would provide for a net increase in Social Security benefits or decrease in Social Security taxes in excess of 0.02% of the present value of future taxable payroll for a 75-year period.13 Protecting the Integrity of the Budget Process 301(g) Prohibits consideration of a BR using more X Majority than one set of economic assumptions. 306 Prohibits consideration of leg. within the X X 60 votes jurisdiction of the Budget Committee— such as directed scoring provisions—unless reported by the Budget Committee. 309 Prohibits adjourning for the July 4th recess X N/A until the House has approved all regular appropriations bills. 310(f) Prohibits adjourning for the July 4th recess X N/A until the House has completed action on the Reconciliation Bill (in years when the BR calls for Reconciliation legislation). Unfunded Mandates Reform Act 425(a)(1) Prohibits consideration of legislation X X 60 votes* reported by a committee unless the committee has published a CBO report on direct costs of Federal mandates in the legislation.

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Senate Budget Act Applies to: Waiver Section Description Senate House Requirementii

425(a)(2) Prohibits consideration of legislation that X X 60 votes* would increase the cost of federal intergovernmental mandates (i.e., mandates on state or local governments) by more than $50 million (adjusted for inflation) in the first year of the bill’s operation or any of the 4 ensuing years unless sufficient direct spending authority is provided in the bill or funds are authorized (and identified) to cover the costs. See chapter 2-6 for more information. 426 Prohibits consideration of a “Rule” in X N/A the House that would waive section 425 Procedures Relating to Consideration of the Budget Resolution 305(c)(4) Prohibits consideration of nongermane X 60 votes amendments to “amendments in disagreement” between the House and Senate. 305(b)(2) Prohibits consideration of nongermane X 60 votes amendments to BR. 305(d) Prohibits a vote on a BR unless the X Majority figures contained in the resolution are mathematically consistent. Procedures Relating to Consideration of Reconciliation Legislation 310(d)(2) Prohibits amendments to Reconciliation X 60 votes Bills that would decrease spending cuts or reduce tax increases, unless deficit neutral through offsetting provisions. 310(e) Prohibits consideration of nongermane X 60 votes* amendments to Reconciliation Bills or to “amendments in disagreement” between the House and Senate. 313 Byrd Rule: Prohibits consideration of X 60 votes “extraneous,”i.e. nonbudgetary or deficit-increasing legislation, in a Reconciliation Bill. Offending provisions are stripped out of the Reconciliation 08_appendix.qxp 11/20/07 10:27 AM Page 393

APPENDIX B 393

Senate Budget Act Applies to: Waiver Section Description Senate House Requirementii

Bill if the point of order is sustained. See chapter 2-3 and appendix L for more details on the Byrd Rule. Sec. 202 Limiting Reconciliation Leg. to Deficit X 60 votes of Reduction: Prohibits consideration of FY’08 BR Reconciliation legislation that would increase deficits or reduce surpluses in either of two budget periods: (1) the period of the current fiscal year, the budget year, and the ensuing 4 fiscal years; or (2) the period of the current fiscal year, the budget year, and the ensuing 9 fiscal years. Note: Section numbers refer to sections of the Congressional Budget and Impoundment Control Act of 1974, as amended, unless otherwise noted.

Notes

1. Under section 312(f) of the Congressional Budget Act, if the Presiding Officer in the Senate sus- tains a point of order against a bill or resolution, it is automatically sent back to the committee of juris- diction. Under section 312(d), a point of order cannot be raised in the Senate while an amendment that would remedy the problem is pending. 2. There are no supermajority waiver requirements in the House of Representatives. The 3/5 waiver requirement in the Senate was, most recently, extended to September 30, 2017, by the FY 2008 Budget Resolution. For additional history, see James Saturno, “Points of Order in the Congressional Budget Process,”97-865GOV (Washington D.C.: Congressional Research Service, July 2, 2007), note 7. 3. However, in the Senate, “reserve funds” permit allocations to be adjusted upward to reflect new spending that is budget neutral. 4. Point of order does not apply in the House to legislation that is deficit neutral. 5. The point of order does not apply to appropriations bills in the House after May 15. 6. However, “reserve funds” may be included in the Budget Resolution that permit the BA or Out- lay ceilings to be adjusted upward to accommodate additional spending that is paid for with revenue increases. 7. However, in the House, (1) the so-called Fazio exception allows appropriations measures to exceed the aggregate ceiling on new budget authority or outlays if they do not exceed the appropriate committee’s 302(a) budget allocation, and (2) this limit on total spending does not operate if a Decla- ration of War is in effect. 8. In the Senate, provisions violating this point of order can be stricken from a conference report. 9. Sec. 204 of the 2008 Budget Resolution sets forth five criteria for determining if an emergency designation is warranted. 10. In recent years, war funding has been designated as emergency spending and thereby exempted from section 302 and section 311 points of order. 08_appendix.qxp 11/20/07 10:27 AM Page 394

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11. However, “reserve funds” may be included in the Budget Resolution that permit the revenue floor to be adjusted downward to accommodate tax cuts that are paid for with spending cuts. 12. This point of order would bring down the entire Reconciliation Bill; alternatively, in the Senate, the Byrd Rule could be used to strip out the offending provision. 13. However, section 13302(b) of the Budget Enforcement Act provides that the point of order would not apply to legislation that reduces Social Security taxes in excess of the threshold amounts if the reduc- tions are offset by equivalent increases in Medicare taxes. James Saturno, “Points of Order in the Con- gressional Budget Process” (Washington, D.C.: Congressional Research Service, Library of Congress, May 19, 2005), 13, footnote a. 14. For more information on the Anti-Deficiency Act, see http://www.gao.gov/ada/antideficiency.htm 08_appendix.qxp 11/20/07 10:27 AM Page 395

APPENDIX C

Major Laws Governing the Federal Budget Process

Law Description Anti-Deficiency Act (enacted in 1870 as Provides that no department or government part of the legislative appropriations bill), official can make payments, or obligate the U.S. 31 U.S.C. 1341-42; 1511-1519 government by contract, in excess of congressional appropriations (with criminal penalties for violations).14 The Act enforces Congress’ constitutional authority over the public purse. The Act also triggers government shutdowns when Congress fails to appropriate funds by the beginning of a new fiscal year. Budget and Accounting Act of 1921, Centralized Federal budgeting by creating the P.L.No. 67-13, 42 Stat. 20 (June 10, 1921) Bureau of the Budget (the predecessor to OMB) and codified submission of the President’s Budget. Also established the General Accounting Office (now the Government Accountability Office) to provide Congress with an independent audit of executive accounts and to report on violations of fiscal statutes. Legislative Reorganization Act of 1946, Directed the GAO to make expenditure analyses P.L. 79-601, §206, 60 Stat. 812, 837 of executive branch agencies with reports to (Aug. 2, 1946) relevant congressional committees. Accounting and Auditing Act of 1950, Authorized the GAO to audit the financial P.L. 81-784, §117(a), 31 U.S.C. §3523(a) transactions of most executive, legislative, and judicial agencies and to prescribe, in consultation with the President and the Secretary of the Treasury, accounting standards.

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Law Description Legislative Reorganization Act of 1970, Expanded the focus of GAO’s audit activities to P.L. 91-150, §204, 84 Stat. 1140, 1168 include program evaluations as well as financial (Oct. 26, 1970) audits. Congressional Budget and Impoundment Established the congressional budget process, Control Act of 1974, P.L.93-344, including the requirement for an annual Budget 88 Stat. 297 (July 12, 1974) Resolution, created the House and Senate Budget Committees and the Congressional Budget Office, and established rescission and deferral procedures to limit presidential impoundment authority. Balanced Budget and Emergency Established declining maximum deficit amounts Deficit Control Act of 1985 (intended to lead to a balanced budget in (Gramm-Rudman-Holllings), FY1991) and a sequestration process (automatic P.L. 99-177, Title II, 99 Stat. 1037, budget cuts) as enforcement; also amended the 1038 (Dec. 12, 1985) ’74 Budget Act. Balanced Budget and Emergency Moved the sequester trigger from GAO to OMB Deficit Control Reaffirmation Act of (due to a constitutional challenge) and revised 1987, P.L. 100-119, 101 Stat. 754 and extended the deficit targets, aiming at a (Sept. 29, 1987) balanced budget in 1993. See Bowsher v. Synar (478 U.S. 714, 1986). Budget Enforcement Act of 1990, Replaced the ineffective G-R-H deficit targets P.L.101-508, Title XIII, 104 Stat. at with (1) discretionary spending limits and (2) a 1388-573 (Nov. 5, 1990) pay-as-you-go (PAYGO) requirement to offset entitlement increases and tax cuts—both enforced through automatic sequesters; enacted the Federal Credit Reform Act of 1990; and amended the ’74 Budget Act Government Performance and Results Requires agencies to submit to Congress Act (GPRA) P.L. 103-62, 107 Stat. 285 multiyear strategic plans, annual performance (Aug. 3, 1993) plans, and annual performance reports. See chapter 2-7 for details. Omnibus Budget Reconciliation Act of Extended the discretionary spending limits and 1993, P.L. 103-66, Title XIV, 107 Stat. 312, PAYGO process through FY ’98. 683 (Aug. 10, 1993) Unfunded Mandates Reform Act of Unfunded mandates are Federal statutes or 1995 (UMRA), P.L. 104-4, 109 Stat. 50 regulations that require state or local (Mar. 22, 1995) governments or private sector entities to achieve certain goals or fulfill certain functions without being provided any Federal funding. UMRA (1) requires congressional committees 08_appendix.qxp 11/20/07 10:27 AM Page 397

APPENDIX C 397

Law Description and CBO to identify and provide information on potential unfunded Federal mandates in legislation and (2) permits Members of Congress to raise certain points of order. (See chapter 2-6 for details.) Line Item Veto Act, P.L. 104-130, 110 Granted the President authority to cancel Stat. 1200 (April 9, 1996). discretionary spending, new direct spending, and (Ruled unconstitutional in 1998) limited tax benefits in legislation; later ruled unconstitutional by the Supreme Court. Budget Enforcement Act of 1997, Extended the discretionary spending limits and P.L. 105-33, 111 Stat. 251 (Aug. 5, 1997) PAYGO process through FY 2002. Amended the ’74 Budget Act. TEA-21, P.L. 105-178, 112 Stat. 107 The Highway Bill (Transportation Equity Act for (June 9, 1998) the 21st Century or “TEA-21”) established additional spending caps on highway and mass transit spending through 2003. FY 2001 Interior Appropriations Act, The FY 2001 Interior Appropriations Act P.L. 106-291, 114 Stat. 922 (Oct. 11, 2000) established a set of caps on conservation spending through 2006 (including acquisition, conservation, and maintenance of Federal and nonfederal lands and resources as well as payments in lieu of taxes). A bill to eliminate preexisting PAYGO Required the Director of the Office of balances, P.L. 107-312, 116 Stat. 2456 Management and Budget to reduce to zero any (Dec. 2, 2002) PAYGO balances of direct spending and receipts legislation for all fiscal years under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act). 08_appendix.qxp 11/20/07 10:27 AM Page 398

APPENDIX D

Statutory Definition of Entitlement

he term entitlement was statutorily defined, for the first time, in section 401 of the Con- Tgressional Budget Act. The provision sets forth entitlement authority as one of three types of “back-door spending authority”—a term first introduced by the Joint Study Committee on Budget Control in 1973. By introducing the concept of back-door spending authority, the Joint Committee was seeking to control the proliferation of authorizing legislation that was financially committing the Federal Government outside the scope of the annual appropriations process. Section 401(a) of the Budget Act places restrictions on the ability to create the first two types of back-door spending authority: contract authority and borrowing authority. Section 401(b) places restrictions on the third type of back-door spending: “legislation providing new entitlement authority.” The provision restricts the effective date of new enti- tlements to the upcoming fiscal year, in order to assure that any new entitlement authority will be created within the context of Budget Resolution limitations. The three types of back-door spending authority are defined in section 401(c). The third type, entitlement authority, is defined in subparagraph 401(c)(2)(C) as follows: §401(c) DEFINITIONS.— (1) For purposes of this section, the term “new spending authority” means spending authority not provided by law on the effective date of this section, including any increase in or addition to spending authority provided by law on such date. (2) For purposes of paragraph (1), the term “spending authority” means authority (whether temporary or permanent)— (A) [definition of contract authority]; (B) [definition of borrowing authority]; (C) to make payments (including loans and grants), the budget authority for which is not provided for in advance by appropriation Acts, to any person or government if, under the provisions of the law containing such authority, the United States is oblig- ated to make such payments to persons or governments who meet the requirements established by such law. [emphasis added] The Budget Act’s definition may be understood as setting forth a three-part test for defining programs as entitlements:

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APPENDIX D 399

1. Specified benefits: The program’s authorizing legislation specifies particular sums of money to be paid. 2. Specified beneficiaries: The payments are to be made to a class of persons or govern- ments who meet specified eligibility requirements. 3. Federal government has a legal obligation to pay that is not subject to appropriations: The payment is not discretionary; that is, the legislation obligates the United States to make the specified payments to the eligible class, and the legal obligation to make the specified payments to the eligible class of recipients is not contingent on appropriations being enacted. Therefore, if insufficient appropriations are available, the government, in theory, may be sued for payment of the benefits.

Note that although entitlements legally obligate the United States to make specified pay- ments, funds must still be appropriated to cover those payments. Some entitlement programs, such as Social Security, are permanently appropriated. Others are annually appropriated. Both permanently appropriated and annually appropriated entitlements share the common char- acteristic that the cost of the program has been determined outside of the appropriations process through the establishment of a formula-driven program. Although annually appro- priated entitlements might appear to be subject to annual funding decisions of the Appro- priations Committees, in reality they are not. 08_appendix.qxp 11/20/07 10:27 AM Page 400

APPENDIX E

Revenue Bills and the Origination Clause

rticle I, section 7 of the U.S. Constitution (otherwise known as the Origination Clause) Aprovides that “All bills for raising revenues shall originate in the House of Representa- tives; but the Senate may propose or concur with Amendments as on other Bills.”The reason for the Origination Clause is that the House—at the time—was the only body directly elected by the people. Even after the 17th Amendment applied direct election to the Senate, the Orig- ination Clause remained in force. Although the origination clause requires that revenue vehicles must originate in the House, it does not preclude the Senate from beginning its consideration of tax legislation before a House-originated tax vehicle is transmitted to the Senate. For example, the Senate may consider a revenue bill in the form of a Senate or (S.-bill) and then await transmittal of a revenue bill from the House. The Senate can then add or substitute provisions of the S.-bill as an amendment to the H.R.-revenue vehicle and send the H.R.-revenue vehicle back to the House of Representatives requesting a conference, or the House’s concurrence on the differ- ing provisions. When the House believes that the Senate has encroached on its constitutional preroga- tive to originate revenue bills, it passes a House resolution stating that the Senate provision “in the opinion of the House, contravenes the first clause of the seventh section of the first article of the Constitution of the United States and is an infringement on the privilege of the House and that such bill be respectfully returned to the Senate with a message communicat- ing this resolution.”This practice is referred to as “blue slipping” because the resolution return- ing the offending bill to the Senate is printed on blue paper.

Source: This appendix has been drawn from U.S. Senate, Committee on Finance, Program Descriptions and General Budget Information for FY 1995, S. Prt. 103-80, 103d Congress, 2d Session, p. 128. Uncredited author: Charles S. Konigsberg, General Counsel.

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APPENDIX F

Historical Table—Budget Resolutions

First Concurrent Resolution on Second Concurrent Resolution on FY the Budget Adopted1 the Budget Adopted2 1976 May 14, 1975 (H.Con.Res. 218) December 12, 1975 (H.Con.Res. 466) 1977 May 13, 1976 (S.Con.Res. 109) September 16, 1976 (S.Con.Res. 139)3 1978 May 17, 1977 (S.Con.Res. 19) September 15, 1977 (H.Con.Res. 341) 1979 May 17, 1978 (S.Con.Res. 80) September 23, 1978 (H.Con.Res. 683) 1980 May 24, 1979 (H.Con.Res. 107) November 28, 1979 (S.Con.Res. 53)4 1981 June 12, 1980 (H.Con.Res. 307) November 20, 1980 (H.Con.Res. 448) 1982 May 21, 1981 (H.Con.Res. 115) December 10, 1981 (S.Con.Res. 50) 1983 June 23, 1982 (S.Con.Res. 92) 1984 June 23, 1983 (H.Con.Res. 91) 1985 Oct. 1, 1984 (H.Con.Res. 280) 1986 August 1, 1985 (S.Con.Res. 32) 1987 May 15, 1986 (H.Con.Res. 337) 1988 June 25, 1987 (H.Con.Res. 93) 1989 June 6, 1988 (H.Con.Res. 268) 1990 May 18, 1989 (H.Con.Res. 106) 1991 Oct. 9, 1990 (H.Con.Res. 310) 1992 May 22, 1991 (H.Con.Res. 121) 1993 May 21, 1992 (H.Con.Res. 287) 1994 April 1, 1993 (H.Con.Res. 64) 1995 May 12, 1994 (H.Con.Res. 218) 1996 June 29,1995 (H.Con.Res. 67) 1997 June 13, 1996 (H.Con.Res. 178) 1998 June 4, 1997 (H.Con.Res. 84) 1999 No Budget Resolution Conference Report Adopted5 (House deemed H.Con.Res. 284; Senate deemed S.Res. 209, 312)

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First Concurrent Resolution on Second Concurrent Resolution on FY the Budget Adopted1 the Budget Adopted2 2000 April 15, 1999 (H.Con.Res. 68) 2001 April 13, 2000 (H.Con.Res. 290) 2002 May 10, 2001 (H.Con.Res. 83) 2003 No Budget Resolution Adopted6 (House deemed H.Con.Res.353) 2004 April 11, 2003 (H.Con.Res. 95) 2005 No Budget Resolution Adopted7 (House deemed conf. rep. on S.Con.Res.95; Senate deemed Appropriations allocations) 2006 April 28, 2005 (H.Con.Res. 95) 2007 No Budget Resolution Adopted8 (House deemed H.Res. 376; Senate deemed 302 allocations) 2008 May 17, 2007 (S.Con.Res. 21)

Notes

1. From FY 1976 through FY 1986, the deadline for adopting the spring Budget Resolution was May 15. Gramm-Rudman-Hollings (GRH) changed the deadline to April 15, beginning with FY 1987. 2. As originally enacted, the Budget Act required a first and second Budget Resolution for each fis- cal year. The First Budget Resolution spending and revenue totals served only as targets for congres- sional action on spending and revenue bills. Spending and revenue totals were not binding (i.e., not enforced by parliamentary points of order) until adoption of a Second Budget Resolution. Beginning with FY 1983, the Congress discontinued the formulation of Second Budget Resolutions and made First Budget Resolution totals binding with the start of the fiscal year on October 1. Beginning with FY 1987, Gramm-Rudman-Hollings made the Budget Resolution totals immediately binding upon adoption of the one Budget Resolution each spring. U.S. Senate Comm. on the Budget, “Gramm-Rudman-Hollings and the Congressional Budget Process,”99th Cong., 1st sess., 1985, S.Prt. 99-119, appendix I. (Uncred- ited author: Charles S. Konigsberg, Staff Attorney.) 3. A third concurrent resolution on the budget for FY 1977 was adopted by the Congress on March 3, 1977 (S.Con.Res. 10). 4. Replaced S.Con.Res. 36. 5. Congress did not complete action on a Budget Resolution for FY 1999. Instead, the House agreed to H.Res. 477 on June 19, 1998, and H.Res. 5 on January 6, 1999 deeming the budget levels contained in the House-passed Budget Resolution (H.Con.Res. 284) to have been adopted by the full Congress for budget enforcement purposes; likewise in the Senate with passage of S.Res. 209 on April 2, 1998, and S.Res. 312 on October 21, 1998. Bill Heniff Jr., “Congressional Budget Resolutions: Selected Statis- tics and Information Guide,” RL30297 (Washington D.C.: Congressional Research Service, February 10, 2006), 6. 6. Congress did not complete action on a Budget Resolution for FY 2003. Instead, the House agreed to H.Res. 428 on May 22, 2002 and H.Res. 5 on January 7, 2003, deeming the budget levels contained in the House-passed budget (H.Con.Res. 353) to have been adopted by the full Congress for budget enforce- ment purposes. The Senate did not take similar action. Heniff, “Congressional Budget Resolutions,”6. 08_appendix.qxp 11/20/07 10:27 AM Page 403

APPENDIX F 403

7. Congress did not complete action on a Budget Resolution for FY 2005. The House-Senate con- ference committee reported S.Con.Res. 95; the House adopted the conference report, but the Senate never considered it. In the absence of a Budget Resolution, the House deemed the conference report to have been agreed to for purposes of budget enforcement in the House (by operation of H.Res. 649, the “Rule” governing consideration of the conference report). The Senate included a provision, §14007, in the Defense Appropriations Act (2005) setting forth the FY 2005 spending allocation for the Senate Appropriations Committee. Heniff, “Congressional Budget Resolutions,”6. 8. Congress did not complete action on a Budget Resolution for FY 2007. Instead the House deemed the budget levels in the House-passed Budget Resolution (H.Con.Res. 376) to have been adopted by the full Congress for budget enforcement purposes; the deeming language was included in H.R. 5386, the FY 2007 Interior-Environment Appropriations Bill. The Senate included a provision in the FY 2006 sup- plemental appropriations bill (HR 4939) to establish a total discretionary appropriations level for the Senate Appropriations Committee. 08_appendix.qxp 11/20/07 10:27 AM Page 404

APPENDIX G

Example of Budget Resolution Totals (Excerpted from S.Con.Res. 21, the FY 2008 Budget Resolution)

SEC. 101. RECOMMENDED LEVELS AND AMOUNTS. The following budgetary levels are appropriate for each of fiscal years 2007 through 2012:

(1) FEDERAL REVENUES- For purposes of the enforcement of this resolution:

(A) The recommended levels of Federal revenues are as follows: Fiscal year 2007: $1,900,340,000,000. Fiscal year 2008: $2,015,858,000,000. Fiscal year 2009: $2,113,828,000,000. Fiscal year 2010: $2,169,484,000,000. Fiscal year 2011: $2,350,254,000,000. Fiscal year 2012: $2,488,301,000,000.

(B) The amounts by which the aggregate levels of Federal revenues should be changed are as follows: Fiscal year 2007: -$4,366,000,000. Fiscal year 2008: -$34,938,000,000. Fiscal year 2009: $6,902,000,000. Fiscal year 2010: $5,763,000,000. Fiscal year 2011: -$44,296,000,000. Fiscal year 2012: -$108,795,000,000.

(2) NEW BUDGET AUTHORITY- For purposes of the enforcement of this resolution, the appropri- ate levels of total new budget authority are as follows: Fiscal year 2007: $2,380,535,000,000. Fiscal year 2008: $2,496,028,000,000. Fiscal year 2009: $2,517,132,000,000. Fiscal year 2010: $2,569,696,000,000. Fiscal year 2011: $2,684,889,000,000. Fiscal year 2012: $2,719,268,000,000.

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APPENDIX G 405

(3) BUDGET OUTLAYS- For purposes of the enforcement of this resolution, the appropriate levels of total budget outlays are as follows: Fiscal year 2007: $2,300,572,000,000. Fiscal year 2008: $2,469,636,000,000. Fiscal year 2009: $2,566,481,000,000. Fiscal year 2010: $2,600,036,000,000. Fiscal year 2011: $2,692,104,000,000. Fiscal year 2012: $2,703,556,000,000.

(4) DEFICITS- For purposes of the enforcement of this resolution, the amounts of the deficits are as follows: Fiscal year 2007: $400,232,000,000. Fiscal year 2008: $453,778,000,000. Fiscal year 2009: $452,653,000,000. Fiscal year 2010: $430,552,000,000. Fiscal year 2011: $341,850,000,000. Fiscal year 2012: $215,255,000,000.

(5) DEBT SUBJECT TO LIMIT- Pursuant to section 301(a)(5) of the Congressional Budget Act of 1974, the appropriate levels of the public debt are as follows: Fiscal year 2007: $8,932,264,000,000. Fiscal year 2008: $9,504,150,000,000. Fiscal year 2009: $10,073,725,000,000. Fiscal year 2010: $10,622,023,000,000. Fiscal year 2011: $11,077,407,000,000. Fiscal year 2012: $11,419,028,000,000.

(6) DEBT HELD BY THE PUBLIC- The appropriate levels of debt held by the public are as follows: Fiscal year 2007: $5,047,318,000,000. Fiscal year 2008: $5,312,560,000,000. Fiscal year 2009: $5,561,383,000,000. Fiscal year 2010: $5,774,487,000,000. Fiscal year 2011: $5,881,776,000,000. Fiscal year 2012: $5,850,852,000,000.

Note: Spending and revenue levels exclude Social Security spending and revenues, which are techni- cally “off-budget.”(See chaper 2-9). 08_appendix.qxp 11/20/07 10:27 AM Page 406

APPENDIX H

Example of Budget Resolution Reconciliation Instructions (Excerpted from H.Con.Res. 95, the FY 2006 Budget Resolution)

Note: Reconciliation Instructions require committees to report legislative provisions that achieve specified changes in spending and/or revenue levels within their jurisdiction, but they do not iden- tify specific programmatic or tax changes. Specific changes are “assumed” by the Budget Commit- tee when the dollar targets are drafted, but the authorizing committees need not—and often do not—follow the Budget Committee assumptions.

SEC. 202. RECONCILIATION IN THE SENATE

(a) SPENDING RECONCILIATION INSTRUCTIONS- In the Senate, by September 16, 2005, the com- mittees named in this section shall submit their recommendations to the Committee on the Budget. After receiving those recommendations, the Committee on the Budget shall report to the Senate a Rec- onciliation bill carrying out all such recommendations without any substantive revision. (1) COMMITTEE ON AGRICULTURE, NUTRITION, AND FORESTRY- The Senate Committee on Agriculture, Nutrition, and Forestry shall report changes in laws within its jurisdiction suffi- cient to reduce outlays by $173,000,000 in fiscal year 2006, and $3,000,000,000 for the period of fiscal years 2006 through 2010. (2) COMMITTEE ON BANKING, HOUSING, AND URBAN AFFAIRS- The Senate Committee on Banking, Housing, and Urban Affairs shall report changes in laws within its jurisdiction suffi- cient to reduce outlays by $30,000,000 in fiscal year 2006, and $470,000,000 for the period of fis- cal years 2006 through 2010. (3) COMMITTEE ON COMMERCE, SCIENCE, AND TRANSPORTATION- The Senate Com- mittee on Commerce, Science, and Transportation shall report changes in laws within its jurisdic- tion sufficient to reduce outlays by $10,000,000 in fiscal year 2006, and $4,810,000,000 for the period of fiscal years 2006 through 2010.

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APPENDIX H 407

(4) COMMITTEE ON ENERGY AND NATURAL RESOURCES- The Senate Committee on Energy and Natural Resources shall report changes in laws within its jurisdiction sufficient to reduce outlays by $2,400,000,000 for the period of fiscal years 2006 through 2010. (5) COMMITTEE ON ENVIRONMENT AND PUBLIC WORKS- The Senate Committee on Envi- ronment and Public Works shall report changes in laws within its jurisdiction sufficient to reduce outlays by $4,000,000 in fiscal year 2006, and $27,000,000 for the period of fiscal years 2006 through 2010. (6) COMMITTEE ON FINANCE- The Senate Committee on Finance shall report changes in laws within its jurisdiction sufficient to reduce outlays by $10,000,000,000 for the period of fiscal years 2006 through 2010. (7) COMMITTEE ON HEALTH, EDUCATION, LABOR, AND PENSIONS- The Senate Com- mittee on Health, Education, Labor, and Pensions shall report changes in laws within its jurisdic- tion sufficient to reduce outlays by $1,242,000,000 in fiscal years 2005 and 2006, and $13,651,000,000 for the period of fiscal years 2005 through 2010. (8) COMMITTEE ON THE JUDICIARY- The Senate Committee on the Judiciary shall report changes in laws within its jurisdiction sufficient to reduce outlays by $60,000,000 in fiscal year 2006, and $300,000,000 for the period of fiscal years 2006 through 2010.

(b) REVENUE RECONCILIATION INSTRUCTIONS- The Committee on Finance shall report to the Senate a Reconciliation bill not later than September 23, 2005 that consists of changes in laws within its jurisdiction sufficient to reduce the total level of revenues by not more than: $11,000,000,000 for fis- cal year 2006, and $70,000,000,000 for the period of fiscal years 2006 through 2010.

(c) INCREASE IN STATUTORY DEBT LIMIT- The Committee on Finance shall report to the Senate a Reconciliation bill not later than September 30, 2005, that consists solely of changes in laws within its jurisdiction to increase the statutory debt limit by $781,000,000,000. 08_appendix.qxp 11/20/07 10:27 AM Page 408

APPENDIX I

Example of Budget Resolution Reserve Funds (S.Con.Res. 21, FY 2008)

Note: “Reserve Funds” are an optional component of a Budget Resolution that allow a Budget Resolu- tion’s total spending and committee allocations to be adjusted upward to accommodate additional spending for a specifically defined purpose. Because most reserve funds require that the new legislation be “deficit neutral” (i.e., paid for by new spending cuts or tax increases), the use of the term reserve fund is actually a misnomer, since a Budget Resolution “reserve fund” does not provide any funds.In fact,the only scenarios in which a “reserve fund” has any purpose at all (other than to make a political state- ment) is where a mechanism is needed to allow the Budget Committees to adjust committee alloca- tions to accommodate a new program that is to be paid for by tax increases or spending cuts in another committee’s jurisdiction. If a new program is paid for by spending cuts within a committee’s own juris- diction, there is no net increase in the committee’s spending or in total Federal spending, so no adjust- ments to the Budget Resolution are required, and “reserve fund” authority is unnecessary.

Reserve Funds in Title III of S.Con.Res. 21 (FY 2008 Budget Resolution):

Sec. 301. Deficit-neutral reserve fund for SCHIP legislation. Sec. 302. Deficit-neutral reserve fund for veterans and wounded service members. Sec. 303. Deficit-neutral reserve fund for tax relief. Sec. 304. Deficit-neutral reserve fund for Medicare improvements. Sec. 305. Deficit-neutral reserve funds for health care quality, effectiveness, efficiency, and transparency. Sec. 306. Deficit-neutral reserve fund for higher education. Sec. 307. Deficit-neutral reserve fund for the Farm Bill. Sec. 308. Deficit-neutral reserve fund for energy legislation. Sec. 309. Deficit-neutral reserve fund for county payments legislation. Sec. 310. Deficit-neutral reserve fund for terrorism risk insurance reauthorization. Sec. 311. Deficit-neutral reserve fund for affordable housing. Sec. 312. Deficit-neutral reserve fund for receipts from Bonneville Power Administration. Sec. 313. Deficit-neutral reserve fund for Indian claims settlement.

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APPENDIX I 409

Sec. 314. Deficit-neutral reserve fund for improvements in health. Sec. 315. Deficit-neutral reserve fund for child care. Sec. 316. Deficit-neutral reserve fund for immigration reform in the Senate. Sec. 317. Deficit-reduction reserve fund. Sec. 318. Deficit-neutral reserve fund for manufacturing initiatives in the Senate. Sec. 319. Deficit-neutral reserve fund for the Food and Drug Administration in the Senate. Sec. 320. Deficit-neutral reserve fund for Medicaid. Sec. 321. Reserve fund adjustment for revenue measures in the House. Sec. 322. Deficit-neutral reserve fund for San Joaquin River restoration and Navajo Nation water rights settlements. Sec. 323. Deficit-neutral reserve fund for selected tax relief policies in the Senate.

Example of Reserve Fund language:

SEC. 301. DEFICIT-NEUTRAL RESERVE FUND FOR SCHIP LEGISLATION. (a) Senate— (2) RESERVE FUND—In the Senate, the Chairman of the Senate Committee on the Budget may revise the allocations, aggregates, and other appropriate levels in this resolution for a bill, joint resolution, amendment, motion, or conference report that provides up to $50,000,000,000 in outlays over the period of the total of fiscal years 2007 through 2012 for reauthorization of the State Children’s Health Insurance Program (SCHIP), if such legislation maintains coverage for those currently enrolled in SCHIP, continues efforts to enroll uninsured children who are already eligible for SCHIP or Medicaid but are not enrolled, or supports States in their efforts to move forward in covering more children, by the amounts provided in that legislation for those purposes, provided that the outlay adjustment shall not exceed $50,000,000,000 in outlays over the period of the total of fiscal years 2007 through 2012, and provided that such legislation would not increase the deficit over either the period of the total of fiscal years 2007 through 2012 or the period of the total of fiscal years 2007 through 2017.

(b) House Reserve Fund for the State Children’s Health Insurance Program—The Chairman of the House Committee on the Budget may revise the allocations of a committee or committees, aggregates, and other appropriate levels for bills, joint resolutions, amendments, or conference reports, which con- tains matter within the jurisdiction of the Committee on Energy and Commerce that expands cover- age and improves children’s health through the State Children’s Health Insurance Program (SCHIP) under title XXI of the Social Security Act and the program under title XIX of such Act (commonly known as Medicaid) and that increases new budget authority that will result in not more than $50,000,000,000 in outlays in fiscal years 2007 through 2012, and others which contain offsets so des- ignated for the purpose of this section within the jurisdiction of another committee or committees, if the combined changes would not increase the deficit or decrease the surplus for the total over the period of fiscal years 2007 through 2012 or the period of fiscal years 2007 through 2017. 08_appendix.qxp 11/20/07 10:27 AM Page 410

APPENDIX J

Example of Budget Resolution 302(a) Committee Allocations (Excerpted from H.Rpt. 110-153, the Conference Report to accompany S.Con.Res. 21, the FY 2008 Budget Resolution)

Note: As explained in chapter 2-2, 302(a) spending allocations to committees reflect only “direct spend- ing” jurisdiction. The allocations do not reflect programs that are “authorized” by the various authoriz- ing committees and subsequently funded by the Appropriations Committee. For example, although the HELP Committee has authorizing jurisdiction over the National Institutes of Health, NIH’s $29 billion budget is not allocated to the HELP Committee; rather, the NIH budget is part of the allocation to the Appropriations Committee since the appropriators make the actual funding decisions each year. Simi- larly, the Armed Service receives allocations for military retirement, TRICARE, and other mandatory spending, but the bulk of defense spending (which is discretionary) is allocated to the Appropriations Committee.

(millions of dollars)

Budget Outlays Senate Budget Authority Outlays Authority FY 2008– Committee FY 2008 FY 2008 FY 2008–2012 2012 Agriculture, Nutrition and Forestry 13,464 12,939 67,878 65,557 Appropriations 953,052 1,028,397 * * Armed Services 102,125 102,153 546,992 546,679 Banking, Housing and Urban 13,296 –1,878 64,093 –18,543 Affairs Commerce, Science and 14,457 9,906 75,198 48,684 Transportation Energy & Natural Resources 5,071 4,757 25,838 24,730 Environment and Public Works 43,535 1,753 181,487 9,668 Finance 1,078,880 1,079,886 6,018,150 6,022,475 Foreign Relations 14,688 14,690 69,077 65,798

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APPENDIX J 411

Budget Outlays Senate Budget Authority Outlays Authority FY 2008– Committee FY 2008 FY 2008 FY 2008–2012 2012 Homeland Security and 87,956 85,389 483,868 470,496 Governmental Affairs Health, Education, Labor and 10,608 10,024 56,565 54,185 Pensions (HELP) Judiciary 8,617 7,504 37,630 37,363 Rules and Administration 70 215 343 532 Veterans’ Affairs 1,219 1,300 5,900 6,449 Select Committee on Indian Affairs 452 441 1,748 1,835 Select Committee on Intelligence 263 263 1,415 1,415 *Allocations to the Appropriations Committee are for one year only, since discretionary spending programs are generally funded on an annual basis. 08_appendix.qxp 11/20/07 10:27 AM Page 412

APPENDIX K

Example of Appropriations Committee 302(b) Sub-Allocations

Fiscal Year 2008 (Budget Authority in billions of dollars)

Appropriations Subcommittee House 302(b) Senate 302(b) Agriculture—Rural Development—FDA 18.825 18.709 Commerce—Justice—Science 53.551 54.418 Defense 459.332 459.332 Energy—Water 31.603 32.273 Financial Services—General Government 21.434 21.394 Homeland Security 36.254 36.439 Interior—Environment 27.598 27.150 Labor—HHS—Education 151.112 149.236 Legislative Branch 4.024 4.051 Military Construction—Veterans 64.745 64.745 State—Foreign Operations 34.243 34.243 Transportation—HUD 50.738 51.063

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APPENDIX L

Explanation of the Senate’s Byrd Rule

he Budget Reconciliation process is particularly significant for the Senate, where legisla- T tion is generally subject to (1) unlimited debate and (2) nongermane amendments. In contrast to the normal traditions of open debate and amendment, Reconciliation bills are subject to a very strict—20-hour—time limit and very strict germaneness restrictions on amendments. Because Reconciliation is such a radical departure from the way the Senate nor- mally does its business, Senator Robert C. Byrd in 1985 created the “Byrd Rule” (set forth in 313 of the Budget Act), which limits what can be included in a Reconciliation Bill. Under the Byrd Rule, all legislation reported pursuant to Reconciliation instructions must be budgetary in nature. Any matter that is not budgetary is considered to be “extraneous.” Senators may use a Byrd Rule point of order to strike specific “extraneous”’ provisions from a Reconciliation bill or conference report. Generally, the Byrd Rule defines as extraneous provisions that (1) have no cost or (2) are significant policy changes with “merely incidental” budgetary effects. Senators may challenge a lengthy provision or very small provisions down to the subsection level. The Byrd Rule, itself, is lengthy, highly technical, and quite arcane. But, in general, the following four-part test may be used in determining if a provision violates the Byrd Rule:

1. Does the provision have a budget effect? Changes in outlays or revenues brought about by changes in the terms and conditions under which outlays are made or revenues are collected are considered to be budget effects (which permitted many provisions in OBRA-93 to survive).

2. If a provision has a budget effect, it does not violate the Byrd Rule (and can remain in the Reconciliation Bill) unless • the budget effect is “merely incidental” to the nonbudgetary (policy) components of the provision (for example, if a policy provision doesn’t have a budgetary “score” you can’t save it from the Byrd Rule by piggybacking it on a minor or “incidental” budgetary pro- vision); or • the provision decreases revenues (or increases spending) and the reporting committee has failed to achieve its Reconciliation instructions (this is why Senate committees are very care- ful to fulfill their Reconciliation instructions); or

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414 AMERICA’S PRIORITIES

• in a year beyond the Budget Resolution window the provision would reduce revenues (or increase spending) and that revenue loss (or spending increase) causes the relevant title of the Reconciliation Bill to become a net deficit increaser in that out-year.

3. If the provision has no budget effect, it violates the Byrd Rule. Examples of “no-costers” that violate the Byrd Rule are reporting requirements, technical corrections, authorizations, and no-cost policy changes. Exception: Senate-originated provisions which have no budget effect during the budget window do not violate the Byrd Rule, if the Chairman and Ranking Member of the Bud- get Committee and the authorizing committee certify that one of the following is true: • the provision mitigates a budgetary provision; or • the provision will result in substantial deficit reduction in an outyear (i.e., a year beyond the budget “window” of the Reconciliation bill); or • budgetary effects are likely to occur in the event of new regulations, court rulings, or statutory triggers; or • budgetary effects are likely but cannot currently be estimated.

4. Also, provisions outside a committee’s jurisdiction and provisions affecting Social Secu- rity violate the Byrd Rule.

The Byrd Rule and Conference Reports. In general, the Senate’s Byrd rule effectively limits Rec- onciliation legislation to “budgetary” provisions. Although conference reports are normally immune from further amendment, if a Byrd Rule point of order is raised and sustained against a provision in a Reconciliation conference report, the offending provision would be auto- matically stripped out and the legislative vehicle would cease to be a “conference report.” By losing conference report status, the Reconciliation legislation would be sent back to the House, where it would be open to further amendment. (This actually happened in December 2005 when Democrats successfully raised Byrd Rule points of order against the Deficit Reduction Act conference report, with the effect of sending the legislation back to the House of Repre- sentatives for another vote on February 1, 2006.) 08_appendix.qxp 11/20/07 10:27 AM Page 415

APPENDIX M

Historical Table—Reconciliation Bills

Bill Passed by Date Signed Public Law Reconciliation Bills Number Congress or Vetoed Number Omnibus Reconciliation Act of HR 7765 12-03-80 12-05-80 96-499 1980 Omnibus Budget Reconciliation HR 3982 07-31-81 08-13-81 97-35 Act of 1981 Omnibus Budget Reconciliation Act of 1982 HR 6955 08-18-82 09-08-82 97-253 Omnibus Budget Reconciliation Act of 1983 HR 4169 04-05-84 04-18-84 98-270 Consolidated Omnibus Budget HR 3128 03-20-86 04-07-86 99-272 Reconciliation Act of 1985 (COBRA) Omnibus Budget Reconciliation HR 5300 10-17-86 10-21-86 99-509 Act of 1986 Omnibus Budget Reconciliation HR 3545 12-22-87 12-22-87 100-203 Act of 1987 Omnibus Budget Reconciliation HR 3299 11-22-89 12-19-89 101-239 Act of 1989 Omnibus Budget Reconciliation HR 5835 10-27-90 11-05-90 101-508 Act of 1990 Omnibus Budget Reconciliation HR 2264 08-06-93 08-19-93 103-66 Act of 1993 Balanced Budget Act of 1995 HR 2491 11-20-95 Vetoed — The Personal Responsibility HR 3734 08-01-96 08-22-96 104-93 and Work Opportunity Reconciliation Act of 1996

(Continued)

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416 AMERICA’S PRIORITIES

Bill Passed by Date Signed Public Law Reconciliation Bills Number Congress or Vetoed Number Balanced Budget Act of 1997 HR 2015 07-31-97 08-05-97 105-33 Taxpayer Relief Act of 1997 HR 2014 07-31-97 08-05-97 105-34 Taxpayer Refund and Relief Act of 1999 HR 2488 08-05-99 Vetoed — Marriage Tax Relief Reconciliation HR 4810 07-21-00 Vetoed — Act of 2000 Economic Growth and Tax Relief HR 18361 05-26-01 06-07-01 107-16 Reconciliation Act of 2001 Jobs and Growth Tax Relief HR 2 05-23-03 05-28-03 108-27 Reconciliation Act of 2003 Deficit Reduction Act of 2005 S 1932 02-01-06 02-08-06 109-171 Tax Increase Prevention and HR 4297 05-11-06 05-17-06 109-222 Reconciliation Act of 20062

Notes

1. H.R. 1836, the Economic Growth and Tax Relief Reconciliation Act, included major provisions from H.R. 3, the Economic Growth and Tax Relief Act; H.R. 6, the Marriage Penalty and Family Tax Relief Act; H.R. 8, the Death Tax Elimination Act; H.R. 10, the Comprehensive Retirement Security and Pension Reform Act; H.R. 622, the Adoption Tax Credits bill; and from S. 896, the Senate Budget Rec- onciliation bill. 2. S. 1932 and H.R. 4297 are the spending and tax Reconciliation bills, respectively, that emerged from the FY2006 Budget Resolution. The tax bill, HR 4297, was initiated in 2005 but carried over to the 2006 session. 08_appendix.qxp 11/20/07 10:27 AM Page 417

APPENDIX N

Historical Table—Completion of Appropriations Bills

Only four times since enactment of the Congressional Budget Act has Congress completed all of its regular appropriations bills by the start of the new fiscal year.

Number of Regular Number of Number of Appropriations Continuing Resolutions Regular Bills Enacted Due to Delay Appropriations by Start in Completion of Bills in Omnibus, FY of FY Appropriations CR, or Minibus Measure 1977 13 0 0 1978 9 3 0 1979 5 1 0 1980 3 2 2 1981 1 2 5 1982 0 4 3 1983 1 2 6 1984 4 2 3 1985 4 5 8 1986 0 5 7 1987 0 5 13 1988 0 5 13 1989 13 0 0 1990 1 3 0 1991 0 5 0 1992 3 4 0 1993 1 1 0 1994 2 3 0 1995 13 0 0

(Continued)

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418 AMERICA’S PRIORITIES

Number of Regular Number of Number of Appropriations Continuing Resolutions Regular Bills Enacted Due to Delay Appropriations by Start in Completion of Bills in Omnibus, FY of FY Appropriations CR, or Minibus Measure 1996 0 13 5 1997 131 0 6 1998 1 6 0 1999 1 6 8 2000 4 7 5 2001 2 21 5 2002 0 8 0 2003 0 8 11 2004 3 5 7 2005 1 3 9 2006 2 3 0 2007 2 4 9 2008 0 * * Sources: Sandy Streeter, “Continuing Appropriations Acts: Brief Overview of Recent Practices,” RL30343, Washington, D.C.: Congressional Research Service, November 15, 2006); and Sandy Streeter, “The Congres- sional Appropriations Process: An Introduction,”97-684 (Washington, D.C.: Congressional Research Service, September 8, 2006). *Unknown at time of publication.

Note

1. The deadline was met by adding five regular appropriations bills to a sixth bill and enacting the other seven bills individually. Sandy Streeter, , “Continuing Appropriations Acts: Brief Overview of Recent Practices,”8. 08_appendix.qxp 11/20/07 10:27 AM Page 419

APPENDIX O

Appropriations—Rules Governing Floor Consideration and House-Senate Conference

House Rules Explanation of Provision Application Rule XIII, Cl. 5 Provides that appropriations Although “privileged,” bills are “privileged” and can appropriations bills have therefore be brought directly increasingly been brought to the to the House Floor without House Floor under a “special rule” asking the Rules Committee granted at the request of the to report a “Special Rule.” Appropriations Chairman. In most cases, these are “open rules” where any Member may offer any amendment consistent with the rules of the House. “Committee of Appropriations bills are open In general, the procedures in the the Whole” to amendment with the Committee of the Whole, especially House sitting as a “Committee relating to offering and debating of the Whole,”after which amendments, are considerably the Committee of the Whole more flexible than House Rules. “rises” and reports the amended bill back to the House for a final vote. Rule XIII, Cl. 3(f) Reports accompanying Point of order against appropriations bills must consideration of the entire bill. include lists of all unauthorized appropriations, rescissions, transfers of unexpended balances, and provisions changing existing law (Continued) 419 08_appendix.qxp 11/20/07 10:27 AM Page 420

420 AMERICA’S PRIORITIES

House Rules Explanation of Provision Application

Rule XIII, Cl 4(c) Requires the three-day Point of order against availability of printed hearings consideration of the entire bill on a general appropriations bill. Note: The following points of order can be raised against a portion of a paragraph or section, or an entire paragraph or section. If the point of order is sustained, the offending language is stricken. Also, note that the following restrictions are often waived pursuant to a “special rule” adopted for consideration of the appropriations bill since most appropriations measures contain funding for unauthorized agencies or programs as well as legislative provisions changing existing law. Rule XXI, Cl. Prohibits unauthorized Specific provisions in a 2(a)(1) appropriations in a general reported appropriations bill or appropriations bill. consideration of an amendment. Rule XXI, Cl. Prohibits “reappropriations” Specific provisions in a 2(a)(2) in a general appropriations bill. reported appropriations bill or consideration of an amendment. Rule XXI, Cl. 2(b) Prohibits legislative provisions Specific provisions in a in a general appropriations bill reported appropriations bill or (i.e., change in text of existing consideration of an amendment. law; enactment of law where none exists; repeal of existing law; waiver of a provision of existing law). Rule XXI, Cl. 2(c) Prohibits legislative amendment Consideration of an amendment from being offered to a general to a general appropriations bill. appropriations bill. Rule XXI, Cl. 2(e) Prohibits nonemergency- Against specific provisions in a designated amendments to reported appropriations bill or be offered to an appropriations consideration of an amendment. bill containing an emergency designation. Senate Rules Rule XVI (1) Prohibits amending an However, note that the appropriations bill by Appropriations Committee, in increasing an item of funding reporting a bill to the Senate is not in the bill or adding a new limited to the level established by item of appropriation unless: authorizations. This rule limits it carries out an existing law only the amendments that may be or treaty; offered on the Senate Floor. is moved by the Appropriations Committee or relevant authorizing committee; or 08_appendix.qxp 11/20/07 10:27 AM Page 421

APPENDIX O 421

Senate Rules Explanation of Provision Application

is proposed pursuant to a presidential budget estimate required by law. Rule XVI (3) If an amendment is proposed Purpose is to give the by the relevant authorizing Appropriations Committee an committee to increase an opportunity to review the appropriation already in the authorizing committee’s bill or to add a new item amendment before it comes to of appropriation, the the Floor. amendment must be referred to the Appropriations Committee for at least a day. Rule XVI (2) Prohibits reporting an Paragraph (2) is a point of order appropriations bill with new against the bill which, if sustained, legislative provisions or recommits the bill to Committee. funding limitations that would take effect or cease “The theory of funding limitations to be effective based on is that if Congress can decide the a contingency (these are objectives for which it wishes to generally found in the appropriate money, it can also “General Provisions” restrict the purposes for which the section of an appropriations money should be spent. Rule XVI bill). mandates that the limitation cannot be contingent. This means that the limitation may not impose new duties on federal officials or require the officials to make discretionary judgments or determinations.”In addition, a funding limitation “cannot reach beyond the pending appropriations bill” (emphasis added).1 If a point of order is made against an amendment as legislation on an appropriations bill, if the underlying measure is a House- originated bill, the amendment sponsor can raise a “defense of germaneness” to a provision in the House bill. Questions of germaneness are decided by a vote of the full Senate.

(Continued) 08_appendix.qxp 11/20/07 10:27 AM Page 422

422 AMERICA’S PRIORITIES

Senate Rules Explanation of Provision Application

Rule XVI (4) Prohibits floor amendments that propose legislation on an appropriations bill or funding limitations that would take effect or cease to be effective based on a contingency. Paragraph (4) also prohibits nongermane amendments whether originating in the Appropriations Committee or from the Senate Floor. Rule XVI (5) Prohibits amending an appropriations bill with a private claim. Rule XVI (7) Committee reports on appropriations bills must identify all unauthorized appropriations. Rule XVI (8) Prohibits “reappropriations” Point of order against the entire of unexpended balanced in a bill and amendments thereto. general appropriations bill. House-Senate Conference House Rule XXII, Generally House rules require This is not always followed and the Cl. 9. that conference agreements House often adopts a special rule must stay within the range of waiving this restriction. amounts appropriated by the House and Senate bills. Senate Rule XXVIII, Under Senate Rule XXVIII, This effectively prevents a paragraphs 2-4. as amended in 2007, a conference committee from conference committee may creating omnibus (or minibus) not insert in a conference appropriations measures if 40 or report, provisions that are more Senators object. beyond the scope of the House or Senate bill. Any Senator may make a point of order against “new matter” added by a conference committee, and if the Chair rules the matter to be beyond the scope of the House or Senate bill, those provisions are 08_appendix.qxp 11/20/07 10:27 AM Page 423

APPENDIX O 423

Explanation of Provision Application

automatically stricken from the conference report. Waiver requires 60 votes. Sources: House Committee on Rules, http://www.rules.house.gov/budget_pro.htm; Senate Committee on Appropriations: www.appropriations.senate.gov/budgetprocess/budgetprocess.htm; Martin Gold, Senate Pro- cedure and Practice (Lanham, MD: Rowman & Littlefield, 2004), 133–37. 1. Gold, Senate Procedure and Practice, 134–135. 08_appendix.qxp 11/20/07 10:27 AM Page 424

APPENDIX P

The 2004 PART Questionnaire

Section I: Program Purpose and Design (Yes,No, N/A) 1. Is the program purpose clear? 2. Does the program address a specific and existing problem, interest, or need? 3. Is the program designed so that it is not redundant or duplicative of any other Federal, State, local, or private effort? 4. Is the program design free of major flaws that would limit the program’s effectiveness or efficiency? 5. Is the program design effectively targeted, so that resources will reach intended benefi- ciaries and/or otherwise address the program’s purpose directly?

Section II: Strategic Planning (Yes,No, N/A) 1. Does the program have a limited number of specific long-term performance measures that focus on outcomes and meaningfully reflect the purpose of the program? 2. Does the program have ambitious targets and timeframes for its long-term measures? 3. Does the program have a limited number of specific annual performance measures that can demonstrate progress toward achieving the program’s long-term goals? 4. Does the program have baselines and ambitious targets for its annual measures? 5. Do all partners (including grantees, subgrantees, contractors, cost-sharing partners, and other government partners) commit to and work toward the annual and/or long-term goals of the program? 6. Are independent evaluations of sufficient scope and quality conducted on a regular basis or as needed to support program improvements and evaluate effectiveness and relevance to the problem, interest, or need? 7. Are Budget requests explicitly tied to accomplishment of the annual and long-term per- formance goals, and are the resource needs presented in a complete and transparent man- ner in the program’s budget? 8. Has the program taken meaningful steps to correct its strategic planning deficiencies?

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APPENDIX P 425

Section III: Program Management (Yes,No, N/A) 1. Does the agency regularly collect timely and credible performance information, including information from key program partners, and use it to manage the program and improve performance? 2. Are Federal managers and program partners (including grantees, subgrantees, contrac- tors, cost-sharing partners, and other government partners) held accountable for cost, schedule, and performance results? 3. Are funds (Federal and partners’) obligated in a timely manner and spent for the intended purpose? 4. Does the program have procedures (e.g., competitive sourcing/cost comparisons, IT improvements, appropriate incentives) to measure and achieve efficiencies and cost effec- tiveness in program execution? 5. Does the program collaborate and coordinate effectively with related programs? 6. Does the program use strong financial management practices? 7. Has the program taken meaningful steps to address its management deficiencies?

Section IV: Program Results/Accountability (Yes,Large Extent, Small Extent, No) 1. Has the program demonstrated adequate progress in achieving its long-term performance goals? 2. Does the program (including program partners) achieve its annual performance goals? 3. Does the program demonstrate improved efficiencies or cost effectiveness in achieving program goals each year? 4. Does the performance of this program compare favorably with other programs (includ- ing government, private, etc.) with similar purpose and goals? 5. Do independent evaluations of sufficient scope and quality indicate that the program is effective and achieving results?

Note: This list of generic questions excludes additional questions categorized by program type. For the com- plete list, see Government Accountability Office, GAO-06-28, http://www.gao.gov/new.items/d0628.pdf. 08_appendix.qxp 11/20/07 10:27 AM Page 426

APPENDIX Q

2007 Federal Poverty Level (FPL)

any low-income entitlement programs—for example, Medicaid and SCHIP—are tied Mto the Federal Poverty Level (FPL), which is adjusted in January of each year. Follow- ing is the FPL for 2007.

2007 Federal Poverty Level (FPL) Guidelines

Persons in Family or 48 Contiguous States Household and D.C. Alaska Hawaii 1 $10,210 $12,770 $11,750 2 13,690 17,120 15,750 3 17,170 21,470 19,750 4 20,650 25,820 23,750 5 24,130 30,170 27,750 6 27,610 34,520 31,750 7 31,090 38,870 35,750 8 34,570 43,200 39,750 Additional person, add: 3,480 4,350 4,000 Source: Department of Health and Human Services, http://aspe.hhs.gov/poverty/07poverty.shtml.

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Index

A Border Patrol 136, 138, 141, 158 Agriculture (See Farm Programs) Border Security 143, 154, 158–60 AIDS 212, 214–5, 231, 318 Budget Air Traffic Control; Airport Improvements 277–8 authority 15, 22, 24, 27, 29, 30, 38–9, 44–5, 49, Alternative Minimum Tax (AMT) 329–31, 345, 76–8, 80–2, 116–7, 127–8, 154–5, 363, 385-6, 368, 377 404 Amtrak 271, 279, 281 balanced 37-8, 64, 91, 365, 379, 396 Appropriations bills baselines 11, 86, 88 annual 15–6, 22, 38, 72, 384 concepts 75–92 supplemental 24, 28, 306, 403 deficits 63, 69, 82, 174, 181, 363, 372 Appropriations Committees xv, 8, 9, 12, 14–5, 17, enforcement 33, 35, 37, 39, 41, 43, 45, 47, 49, 24, 27, 54, 66–7, 71, 75, 158, 220, 272–3, 387, 403 410–2 provisions 12–3 Association of American Medical Colleges 229 process xiii, 2, 3, 7, 15, 18, 22, 26, 29, 31, 33–4, Asylees 139–42, 199 37, 45, 49, 59, 89, 235 Authorizing committees 8–10, 12–3, 17–9, 26, 35, reform 63, 65, 67, 69, 71, 73 52, 54, 272–3, 280, 303, 384, 406, 410, 420 sequesters 44 surplus 82, 184, 363 B unified 73, 83–5 Balanced budget requirement 64–5, 73 unified national security 114, 380–1 Balanced Budget Constitutional Amendment Budget, President’s 5–6 63–5, 72–3 Budgeting, performance-based 57, 59–61 Balanced Budget and Emergency Deficit Control Budget Act (See Congressional Budget Act) Act 44–6, 84, 91, 397 Budget Committees xiii, 9, 11, 13, 391, 406, 408, Baseline, Current Services 86–7 414 Biennial budgeting 72, 74 Budget Enforcement Act 37–9, 41, 44–5, 49, 63–4, Biomedical Advanced Research and Development 91, 365, 381, 394, 396–7 Authority (BARDA) 224 Budget Function 12–4, 81, 97, 117, 122 Block grants 60, 216, 222, 236, 258, 260, 267 Budget Process, Congressional 7–28 Border Budget Process Reform (63–74) fencing 139, 158 Budget Reconciliation 13, 17–21, 34–7, 47, 259, southwest 136–8, 286 390–2, 394, 406, 413–5

427 09_index.qxp 11/20/07 7:15 PM Page 428

428 INDEX

Budget Reconciliation Bills 19–21, 27, 36, 391–2, Deductions 261, 328, 330, 334, 339, 351, 356–8, 394, 406–7, 413–5 360–1 Budget Reconciliation Instructions 13, 15, 18, 20, Defense 27, 377, 406, 413 budget 78, 95, 97, 99, 104, 107, 109, 112, 115–7, Budget Resolution 8, 9, 11–21, 24, 26–7, 33–7, 170 40–1, 43, 45–7, 72, 75, 384–6, 388, 392–4, 401–4, spending 78, 89, 95–6, 98–9, 104, 107, 117, 147, 408, 410 364, 367, 370–1, 410 Budget Summit Agreement 38, 44, 49, 364–5 Deficits 2, 12, 18, 21, 36–42, 46, 63–4, 69, 82, 84–5, Byrd Rule 20–1, 34, 392–4, 413–4 363–7, 369–77, 388–9, 392–3, 405, 409 Department C of Agriculture (USDA) 210, 257, 259, 267, 303, Centers for Disease Control and Prevention 2, 306–10, 317–8 205, 208–9, 215, 230–1 of Defense (DoD) 95, 104, 106–7, 110, 112, Children’s programs 171–2, 188, 195–6, 198–200, 114–5, 118–9, 147–8 203–4, 208, 216, 233–45, 249–51, 253–9, 266–7, of Health and Human Services (HHS) 17, 124, 289–90, 328–9, 352, 354–5, 357 205, 209, 212, 229, 232–4, 239, 248–9, 263, Childrens Health Insurance Program (See SCHIP) 267, 426 Child Nutrition Program 237–8, 309 of Homeland Security 53, 61, 113, 115–6, 123, Cities 126, 133, 214, 262, 275–6, 325 125–6, 128–30, 132, 136, 138, 143–8, 150–6, Coast Guard 113, 120, 123–5, 137, 144–6, 152–3, 159, 161–2, 267 160, 205, 207, 231 of Housing and Urban Development (HUD) Committee allocations 9, 12–5, 35, 45, 386, 408, 261, 268 410 Direct loans 49, 50, 247, 309–10 Committee on Finance 90–1, 400, 407 Director of National Intelligence 112, 121–2 Community Health Centers 212–4, 231, 267 Direct Spending 9, 12–3, 26, 41, 45–6, 69, 78–9, 86, Congressional budget process xi, xv, 7–11, 13, 15, 361, 388, 397 17, 19, 21, 23, 25, 27, 31, 33, 37, 90, 393–4 Disasters, major 126, 128–30, 152, 155–6 Congressional Budget Act 7, 9, 10, 18–21, 27, 29, Discretionary spending 13–4, 24, 26, 34, 38, 44, 64, 31, 33–5, 37–8, 43, 45, 50, 77–8, 80, 272, 385–93, 78, 86–7, 91, 95, 156, 303, 310, 384, 397 396–8 limits 34, 38–40, 44–5, 396–7 Congressional Budget and Impoundment Control Domestic Nuclear Detection Office 123, 146–8, Act (See Congressional Budget Act) 161 Congressional Budget Office xv, 9, 25, 27, 46, 50, Dynamic scoring 88–9 54–6, 73–4, 79, 86, 159, 178, 229, 281–2, 346, 376–7 E Congressional Budget Resolutions 8, 19, 33, 36, 41, Earmarks 66–8, 73, 128, 220, 274, 389 75, 402–3 Earned Income Tax Credit (EITC) 2, 141, 253–5, Conservation programs 303, 306 266–7, 328–9, 362 Constitution of the United States 4, 7, 22, 26–7, Education 63, 65–6, 69, 70, 82, 90, 131, 358, 400 Elementary and Secondary Education Act Consumer Product Safety Commission (CPSC) (ESEA) 240, 242, 250 209, 211–2, 231 Higher Continuing resolutions 22–3, 67, 384 Individuals with Disabilities Contract authority 77–8, 272, 281, 398 programs Countries, developing 309, 314–6 Education, No Child Left Behind Credit programs 49, 50 Education programs, secondary 240–2 Credit Reform, Federal 49–50 Emergency designations 13, 24, 39, 40, 156, 387, 393, D 420 Debt spending 24, 38–9, 45, 129, 393 ceiling 41–3, 47, 64, 82–3 Emergency Food and Shelter Program 132, 156, limit 41, 43, 46–7 267 service costs 367, 369 Energy programs 09_index.qxp 11/20/07 7:15 PM Page 429

INDEX 429

Entitlement Government Accountability Office xv, 51, 55–6, programs 8, 9, 11, 13, 15, 20, 27, 35–6, 38, 61–2, 111, 119–22, 154, 156–8, 168, 277, 281, 40, 78–9, 86, 164, 239, 245–6, 261, 311, 347, 349, 362, 379 364–5 Government Performance and Results Act 57–62, spending 13, 34, 40, 46, 71, 94, 99, 239, 246, 350, 396 370–1, 381 Graduate medical education 201–2, 229 Entry, ports of 136–7, 139, 146–7 Gramm-Rudman-Hollings (GRH) 37, 40, 43–5, Environmental Protection Agency (EPA) 210, 231, 402 293–5, 298, 300 Gross income 261, 349–50, 359–61 Estate and Gift Tax 333–7, 343, 345–6, 368 Excise taxes 82, 86, 327, 336–7, 339 H Health F Centers for Disease Control and Prevention Families 2, 108, 129–30, 141, 150–1, 176, 187–9, 208 195, 198–9, 234–7, 248–9, 253–4, 258–62, 266–7, Children’s 203–4 342, 357 Food and Drug Administration 209–11 Farm Indian Health Service 217–8 commodity programs 304, 310 Medicaid Program 194–200 programs 303–5, 307, 309–11 Medicare Program 189–93 Farms 305, 335–6, 346 National Institutes of Health 219–21 Farm Bill 267, 303, 305, 310, 408 Substance Abuse and Mental Health Services Federal inmates 287–8 Administration 222–3 Federally Qualified Health Centers (FQHC) Surgeon General and Commissioned Corps 213–4, 231 205–6 Federal Bureau of Investigation (FBI) 113, 126, Teaching Hospitals 201–2 151, 284–5, 290 Health Resources and Services Administration Federal Credit Reform Act (FCRA) 49, 50 (HRSA) 201–2, 205, 212–4, 229, 231–2 Federal Debt 12, 41–2, 46, 68, 81–3, 181–2, 184–6, Head Start 233–5, 248–9, 267 335, 350, 363–4, 366, 370, 372–4, 379 Highway bill 44, 272–4, 276, 281, 397 Federal Funds Rate 182–4, 186 Highway Trust Fund 272–3, 276, 336, 346 Federal Government xv, xvi, 9, 10, 27, 49–51, 77–8, HIV 212, 214–5, 231, 318 82–6, 93, 181–2, 195, 197–8, 202, 242, 244–5, Homelessness 130, 166, 223, 259–60, 262, 267–8, 263–4, 298–300, 363 382 Federal Poverty Level (FPL) 195, 197–200, 203, Housing assistance programs 49, 50, 129, 165, 218, 227–9, 235, 263, 426 253, 259–62, 268, 406, 408, 410 Federal Reserve System 181–4, 186, 337 House Budget Committee 9, 45, 227 FEMA 61, 123, 126, 128–30, 132–3, 144, 150, House Committee on Appropriations 100, 168 155–6, 161, 260, 267 Humanitarian Aid Food aid programs 308–9, 311, 317 Hurricane Katrina 25, 61, 129, 131, 153, 156–7, Food and Drug Administration (FDA) 205, 162, 209 209–12, 230–1, 412 Food Stamps 52, 140, 253–8, 264, 266–7 I Foreign Affairs, Conduct of 321–2 IDEA 37, 80, 103, 205, 243–5, 250, 380 Foreign Aid Illegal aliens 136–7, 139–43, 154, 158 Foreign Holdings of Federal Debt 185–6 Immigration services 123, 136 Foster Care 239, 249 Immigration and Customs Enforcement (ICE) Fuel taxes 273–4, 280 123–4, 126, 134, 136–8 Income G taxable 1, 88–9, 177, 328–30, 341 GDP 65, 88, 98, 104, 118, 187, 192, 340–1, 347, taxes 143, 171, 176, 235, 254, 327, 332, 337, 364, 373, 376 342, 358 GI Bill 166 individual 327, 329, 333, 339, 377 Government shutdowns 22–3, 395 Indian Health Service 205, 217–8, 232 09_index.qxp 11/20/07 7:16 PM Page 430

430 INDEX

Intelligence National Institutes of Health (NIH) 219, 410 budget 112–3, 115, 121–2 NATO 104–5 community 112–4, 122 Natural Resources, Stewardship of 299–302 Interest rates 84, 174, 182–4, 247, 376 Net Interest 45, 79, 81, 181–5, 374 Interest Payments, Federal 181–6 International Atomic Energy Agency (IAEA) 323, O 325 Off-budget 83–5, 91, 405 Internal Revenue Service 346 Office of Management and Budget xiii, xvi, 7, 10, Iraq War 99, 100, 102, 118, 144, 189 30, 46, 50, 57, 62, 67, 73–4, 76–7, 90, 116–7, 362, Item veto 69, 70 376–7 Omnibus Budget Reconciliation Act 19, 35–6, 38, K 44, 216, 365, 396 Kaiser Family Foundation 225, 227–8, 231, 258, Origination Clause 400 267 Outlays, discretionary 98, 117 Key budget concepts 75, 77, 79, 81, 83, 85, 87, 89, 91 P PAYGO (pay-as-you-go requirement) 41, 45–6 L Payroll taxes 170, 172–3, 175–7, 189–90, 192–4, Law Enforcement, Federal 226, 256, 265–6, 327, 331–2, 342, 380 Legal Permanent Residents (LPRs) 140–2 Peformance-based budgeting, Federal 57–62 Loan guarantees 49, 50, 299, 309–10 Pell Grants 1, 245–6, 251 Low-income Performance budgeting 57, 61–2 children 203–4, 236, 238–9 Points of Order 35, 386, 388, 393–4 households 259–61, 263 Postal Service 85, 91 Low Income Home Energy Assistance Program President’s Budget 3–6, 11, 39, 59, 60, 62, 70, 75–6, (LIHEAP) 263–4, 267–8 87–8, 117, 232, 356, 359, 395 Programs M discretionary 11, 24, 44, 164, 264 Mandates, private-sector 53, 56 joint Federal-State 227, 229, 258, 264 Mandatory spending 26–7, 30, 35, 41, 78–9, 86, Program Assessment Rating Tool 57, 59 249, 265, 303–4, 410 Public Health Service Agencies 120, 205–7, 209, Maternal and Child Health Block Grant (MCH) 224, 230–2 216 Public Health Service Commissioned Corps Medicaid 1, 2, 9, 15, 20, 23, 78–9, 140, 188–9, (USPHSCC) 205, 207–8 194–8, 200–4, 213–5, 227–9, 239–40, 253–5, 372–4, 409 R Medicaid Services 195, 197–8, 200, 229 Railroad Retirement Board 176, 179 Medical schools 201–3 Recession 64, 182–4, 186, 257, 264, 364, 367, 369–70 Medicare 1, 9, 20, 40, 45, 78–9, 86–7, 108, 176–7, Reconciliation Bills (See Budget Reconciliation) 189–97, 201–2, 214–5, 226–9, 331–2, 371–4, 379 Reconciliation Instructions (See Budget Reconcilia- beneficiaries 191–2, 202 tion Instructions) Medicare Advantage 189, 191, 226 Reform (See Budget Process Reform) Mental health 207, 214, 219, 221–3, 232 Research and Development, Federal 298–9 Military 24, 95, 97, 99, 101, 104–5, 107–8, 117, Reserve Fund 12–4, 33, 393–4, 408–9 119–20, 122, 131, 140–1, 144–5, 167, 189, 355 Retirement benefits 117, 161, 170, 172 retirees 97–8, 107–9, 117, 120, 164, 167, 188 Revenues, general 191, 194, 256, 273, 278 Military Aid 319–20 Revenue Side of the Budget 82, 349, 351, 353, 355, Minimum wage 52, 74, 254 357, 359, 361 Rural Health Centers (RHCs) 213–4, 231 N National Flood Insurance Program 133, 157 S National Health Service Corps (NHSC) 212, Schools 238, 240–1, 243, 248, 250, 259, 337 216–7, 232 Second Budget Resolution 36, 43, 402 09_index.qxp 11/20/07 7:16 PM Page 431

INDEX 431

Secret Service 123–4, 151–2, 161 Supplemental Security Income (SSI) 1, 140, 199, Senate 8, 9, 12, 14, 16–21, 33–6, 40–1, 46–7, 71–2, 215, 249, 253, 255–7, 264, 266–7 90–1, 386–90, 392–4, 400–3, 406–7, 409, 413, Surpluses 2, 38–9, 42, 45–6, 64, 75, 83–5, 91, 420–2 172–4, 176, 363–5, 367, 369, 371, 373–5, 377 Senators 5, 14–5, 17–21, 34–5, 37, 54, 67–8, 80, 121, 151, 228, 274, 386–7, 389–90, 413, 422 T Senate Appropriations Committee xiii, 12, 135, Tax 154, 403 credits 253, 328–9, 349, 351, 354, 357–8, 360 Senate Budget Committee xiii, 9, 14, 19, 21, 43, 63, expenditures 349–51, 353, 355–62, 381 90, 132, 159, 225, 361, 372, 376, 378 gap 337–40, 346–7 Senate Committee rates 88, 266, 269, 329, 331, 340–3, 351 on Appropriations 157, 161–2, 168, 281, 423 Taxes, flat 341–2 on Homeland Security and Governmental Teaching hospitals 201–3, 219–20, 229 Affairs 153, 156, 162 Temporary Assistance for Needy Families (TANF) Senate Floor 17, 19–21, 35, 203, 386, 420 141, 236, 249, 253, 258–9, 264, 267 Senate and House Budget Committees 11, 18 Transportation Programs 271, 273, 275, 277, 279, Senate Rules 27, 41, 68, 420, 422 281 Sequester 37–8, 44–5, 396 Transportation Security Administration (TSA) Shutdown 22–3, 27, 64, 365 123–5, 134–5, 153, 157 Social Security benefits 170–1, 175–6, 178–9, 329, TRICARE 108, 120, 410 341, 391 Troops 103–6, 110 Social Security Disability Insurance 171, 177–8, Trust funds 42, 78, 83, 86, 91, 171–2, 175–6, 178, 255, 266 193–4, 203, 226, 264–5, 272, 277–8, 294, 336 Social Security Program 1, 9, 42, 45–6, 78–9, 81–5, U 91, 96, 109, 169–79, 188–90, 193, 331–3, 372–4, Unemployment Insurance 264–5, 269, 327, 345 379–80, 388–91 Unfunded Mandates 51–6, 396 Social Security Reform 178–9 Unified Security Budget 120–1 Social Security Trust Funds 83–4, 91, 172, 174–6, United Nations System Funding 325 181 United States Secret Service 150–1, 161 South Korea 99, 106, 308–9 U.S. Agency for International Development Special education costs 243–4 (USAID) 309, 314, 316–9 Spending US-VISIT 138–9, 143, 158 authority, back-door 398 limits 24, 33, 39, 44 V programs Veterans health 164–5 discretionary 86, 94, 238, 264, 411 Veterans Benefits 163–8 mandatory 9, 40, 54, 94 Vice President 43, 150–1 State Childrens Health Insurance Program (SCHIP) 140, 188, 200, 203–5, 229–30, 267, W 409, 426 Weapons systems 97, 110–1, 154–5 State Department 137, 161, 314, 319, 321 Welfare (See Temporary Assistance for Needy Students 202, 238, 240–3, 245–8, 250, 354, 358 Families) Supplemental appropriations 24–5, 27, 44, 72, 86, Workers, disabled 169, 171–2, 256 118, 123–5, 128, 301 World Bank 314–5, 324, 361